MARK E CARLSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

MARK E

Last Name

CARLSON

Suffix

Business Name

MARK E CARLSON MD

Original Issue Date

07/23/1986

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023