WAYNE P CARLSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064835

License Status

INACTIVE

Business

First Name

WAYNE P

Last Name

CARLSON

Suffix

Business Name

WAYNE P CARLSON MD

Original Issue Date

07/20/1982

Effective Date

05/23/2017

Expiration Date

09/30/2020

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

04/05/2020