KENNETH ROBERT CARSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111759

License Status

ACTIVE

Business

First Name

KENNETH

Middle

ROBERT

Last Name

CARSON

Suffix

Business Name

KENNETH ROBERT CARSON MD

Original Issue Date

07/02/2004

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

WINNETKA

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

07/12/2023