GLENN F CARLSON JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018793

License Status

EXPIRED

Business

First Name

GLENN F

Last Name

CARLSON JR

Suffix

Business Name

GLENN F CARLSON JR MD

Original Issue Date

06/26/1985

Effective Date

06/26/1985

Expiration Date

07/01/1988

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006