DUSTIN ALLAN CARLSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

First Name

DUSTIN

Middle

ALLAN

Last Name

CARLSON

Business Name

DUSTIN ALLAN CARLSON

Original Issue Date

02/01/2012

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023