PATRICIA ROSE CARLSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039105

License Status

CANCELLED

Business

First Name

PATRICIA

Middle

ROSE

Last Name

CARLSON

Suffix

Business Name

PATRICIA ROSE CARLSON MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

08/31/2002

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006