GLENN F CARLSON JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

GLENN F

Last Name

CARLSON JR

Suffix

Business Name

GLENN F CARLSON JR MD

Original Issue Date

12/26/1986

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

LAGRANGE PARK

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023