GREGORY M CARSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043736

License Status

NOT RENEWED

Business

First Name

GREGORY M

Last Name

CARSEN

Suffix

Business Name

GREGORY M CARSEN MD

Original Issue Date

09/24/1970

Effective Date

09/24/1970

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006