THOMAS A CARLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051202

License Status

NOT RENEWED

Business

First Name

THOMAS A

Last Name

CARLSON

Suffix

Business Name

THOMAS A CARLSON MD

Original Issue Date

07/10/1975

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021