WAYNE P CARLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

WAYNE P

Last Name

CARLSON

Suffix

Business Name

WAYNE P CARLSON MD

Original Issue Date

08/24/1988

Effective Date

05/23/2017

Expiration Date

09/30/2020

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021