COURTNEY RAE CARLSON - Physician Assistant License in Illinois | # 085003873

COURTNEY RAE CARLSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003873

License Status

NOT RENEWED

Business

N

First Name

COURTNEY

Middle

RAE

Last Name

CARLSON

Business Name

COURTNEY RAE CARLSON

Original Issue Date

09/16/2010

Effective Date

02/26/2014

Expiration Date

03/01/2016

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016