SALLY MADIBA-CARLSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168225

License Status

ACTIVE

Business

Title

First Name

SALLY

Last Name

MADIBA-CARLSON

Business Name

SALLY MADIBA-CARLSON MD

Original Issue Date

01/10/2024

Effective Date

01/10/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2024