CARSON FAIRFIELD WOODBURY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164469

License Status

ACTIVE

Business

Title

First Name

CARSON

Middle

FAIRFIELD

Last Name

WOODBURY

Business Name

CARSON FAIRFIELD WOODBURY MD

Original Issue Date

04/20/2023

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

Ever Disciplined

LastModifiedDate

03/21/2023