LAWRENCE D CARLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

LAWRENCE D

Last Name

CARLSON

Suffix

Business Name

LAWRENCE D CARLSON MD

Original Issue Date

08/01/1985

Effective Date

08/01/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006