RUSSELL ROBERT CARLSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039769

License Status

INACTIVE

Business

First Name

RUSSELL ROBERT

Last Name

CARLSON

Suffix

Business Name

RUSSELL ROBERT CARLSON MD

Original Issue Date

07/01/1965

Effective Date

07/01/1965

Expiration Date

07/31/1987

City

HONOLULU

State

Zip

96821

County

HAWAII

Ever Disciplined

LastModifiedDate

09/20/2006