BRUCE ELBERT CARLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

BRUCE ELBERT

Last Name

CARLSON

Suffix

Business Name

BRUCE ELBERT CARLSON MD

Original Issue Date

01/01/1997

Effective Date

09/16/2020

Expiration Date

07/31/2023

City

DEER PARK

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023