ANDREW MICHAEL CARLSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082204

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

MICHAEL

Last Name

CARLSON

Business Name

ANDREW MICHAEL CARLSON MD

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/29/2023