JAMES R CARLSON - Physician Assistant License in Illinois | # 085001613

JAMES R CARLSON

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001613

License Status

INACTIVE

Business

N

First Name

JAMES

Middle

R

Last Name

CARLSON

Business Name

JAMES R CARLSON

Original Issue Date

07/20/2001

Effective Date

03/02/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

10/25/2012