DOUGLAS WILLIAM CARLSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

DOUGLAS

Middle

WILLIAM

Last Name

CARLSON

Business Name

DOUGLAS WILLIAM CARLSON MD

Original Issue Date

09/03/2014

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023