COREY MICHAEL CARSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001010

License Status

CANCELLED

Business

Title

First Name

COREY

Middle

MICHAEL

Last Name

CARSON

Business Name

COREY MICHAEL CARSON MD

Original Issue Date

09/01/2014

Effective Date

09/01/2014

Expiration Date

09/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Sports Medicine

Ever Disciplined

LastModifiedDate

03/13/2015