WADE D CARLSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101444

License Status

ACTIVE

Business

First Name

WADE

Middle

Last Name

CARLSON

Business Name

WADE D CARLSON

Original Issue Date

10/08/1999

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

04/18/2023