WAYNE ALBERT CARLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

WAYNE ALBERT

Last Name

CARLSON

Suffix

Business Name

WAYNE ALBERT CARLSON MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006