STEPHEN J CARLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085392

License Status

NOT RENEWED

Business

First Name

STEPHEN J

Last Name

CARLSON

Suffix

Business Name

STEPHEN J CARLSON MD

Original Issue Date

09/22/1992

Effective Date

09/22/1992

Expiration Date

07/31/1996

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006