STEPHEN J CARLSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025430

License Status

EXPIRED

Business

First Name

STEPHEN J

Last Name

CARLSON

Suffix

Business Name

STEPHEN J CARLSON MD

Original Issue Date

06/12/1990

Effective Date

06/12/1990

Expiration Date

06/19/1993

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006