CARL J CARLSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073944

License Status

INACTIVE

Business

First Name

CARL J

Last Name

CARLSON

Suffix

Business Name

CARL J CARLSON MD

Original Issue Date

10/17/1986

Effective Date

10/17/1986

Expiration Date

07/31/1990

City

PEORIA

State

Zip

85345

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006