INGRID A CARLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102321

License Status

NOT RENEWED

Business

First Name

INGRID

Middle

Last Name

CARLSON

Suffix

Business Name

INGRID A CARLSON MD

Original Issue Date

04/11/2000

Effective Date

04/11/2000

Expiration Date

07/31/2002

City

COLORADO SPRINGS

State

Zip

80906

County

COLORADO

Ever Disciplined

LastModifiedDate

11/07/2014