CARL J CARLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

CARL J

Last Name

CARLSON

Suffix

Business Name

CARL J CARLSON MD

Original Issue Date

12/10/1986

Effective Date

12/10/1986

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60660

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006