CARL M WAHLSTROM JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076654

License Status

ACTIVE

Business

First Name

CARL M

Last Name

WAHLSTROM JR

Suffix

Business Name

CARL M WAHLSTROM JR MD

Original Issue Date

02/03/1988

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2023