NELS L CARLSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000342

License Status

EXPIRED

Business

First Name

NELS

Middle

Last Name

CARLSON

Business Name

NELS L CARLSON

Original Issue Date

08/27/1996

Effective Date

08/27/1996

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006