DUWAYNE A CARLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084239

License Status

NOT RENEWED

Business

First Name

DUWAYNE A

Last Name

CARLSON

Suffix

Business Name

DUWAYNE A CARLSON MD

Original Issue Date

04/10/1992

Effective Date

04/10/1992

Expiration Date

07/31/1996

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

07/02/2007