JOHN DALE CARLSON MD - Medical Doctor License in New Mexico | # 036062702

JOHN DALE CARLSON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062702

License Status

NOT RENEWED

Business

N

First Name

JOHN DALE

Last Name

CARLSON

Suffix

MD

Business Name

JOHN DALE CARLSON MD

Original Issue Date

08/03/1981

Effective Date

08/03/1981

Expiration Date

07/31/1990

State

NM

Ever Disciplined

N

LastModifiedDate

09/20/2006