ANDREA G CARLSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

First Name

ANDREA

Middle

Last Name

CARLSON

Suffix

Business Name

ANDREA G CARLSON MD

Original Issue Date

05/21/1999

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

OAK BROOK

State

Zip

60523

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023