DAVID J CARLSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135499

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

Last Name

CARLSON

Business Name

DAVID J CARLSON DO

Original Issue Date

06/13/2014

Effective Date

06/13/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017