RICHARD W CARLSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084743

License Status

INACTIVE

Business

First Name

RICHARD W

Last Name

CARLSON

Suffix

Business Name

RICHARD W CARLSON MD

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

07/31/1996

City

PHOENIX

State

Zip

85010

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006