CARL M WAHLSTROM JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020335

License Status

EXPIRED

Business

First Name

CARL M

Last Name

WAHLSTROM JR

Suffix

Business Name

CARL M WAHLSTROM JR MD

Original Issue Date

09/19/1986

Effective Date

09/19/1986

Expiration Date

06/23/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006