WAYNE P CARLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

WAYNE P

Last Name

CARLSON

Suffix

Business Name

WAYNE P CARLSON MD

Original Issue Date

01/20/1983

Effective Date

01/20/1983

Expiration Date

07/31/1990

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020