RICHARD CARLYLE CARSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

CANCELLED

Business

First Name

RICHARD CARLYLE

Last Name

CARSON

Suffix

Business Name

RICHARD CARLYLE CARSON MD

Original Issue Date

08/24/2004

Effective Date

08/24/2004

Expiration Date

07/31/2005

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006