TODD EVAN CARLSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030066

License Status

EXPIRED

Business

First Name

TODD EVAN

Last Name

CARLSON

Business Name

TODD EVAN CARLSON

Original Issue Date

06/02/1993

Effective Date

06/02/1993

Expiration Date

06/30/1996

City

FORT MYERS

State

Zip

33905

County

LEE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006