WADE D CARLSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037041

License Status

EXPIRED

Business

First Name

WADE

Middle

Last Name

CARLSON

Business Name

WADE D CARLSON

Original Issue Date

07/01/1997

Effective Date

07/01/1997

Expiration Date

06/30/2000

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006