RUSSELL MARTIN CARLSON DPM - Podiatrist License in Iowa | # 135000650

RUSSELL MARTIN CARLSON DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000650

License Status

EXPIRED

Business

N

Title

DPM

First Name

RUSSELL

Middle

MARTIN

Last Name

CARLSON

Business Name

RUSSELL MARTIN CARLSON DPM

Original Issue Date

06/27/2008

Effective Date

07/01/2009

Expiration Date

06/30/2010

State

IA

Ever Disciplined

N

LastModifiedDate

07/08/2010