CARL W SODERSTROM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047603

License Status

ACTIVE

Business

First Name

CARL W

Last Name

SODERSTROM

Suffix

Business Name

CARL W SODERSTROM MD

Original Issue Date

07/20/1973

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/23/2023