PHILIP CARLSON-DEXTER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151529

License Status

ACTIVE

Business

Title

First Name

PHILIP

Last Name

CARLSON-DEXTER

Business Name

PHILIP CARLSON-DEXTER MD

Original Issue Date

01/10/2020

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/17/2023