DOUGLAS WILLIAM CARLSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136399

License Status

ACTIVE

Business

Title

First Name

DOUGLAS

Middle

WILLIAM

Last Name

CARLSON

Business Name

DOUGLAS WILLIAM CARLSON MD

Original Issue Date

09/03/2014

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/03/2023