BRIAN DAVID CARLSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124103

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

DAVID

Last Name

CARLSON

Business Name

BRIAN DAVID CARLSON

Original Issue Date

07/24/2009

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

SARASOTA

State

Zip

34243

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/17/2014