MACI ALEXA CARLSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086178

License Status

ACTIVE

Business

Title

First Name

MACI

Middle

ALEXA

Last Name

CARLSON

Business Name

MACI ALEXA CARLSON MD

Original Issue Date

06/23/2025

Effective Date

06/23/2025

Expiration Date

06/22/2028

City

CHICAGO, IL

State

Zip

60611

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/20/2025