ANDERS D CARLSTEDT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114482

License Status

NOT RENEWED

Business

First Name

ANDERS

Middle

Last Name

CARLSTEDT

Business Name

ANDERS D CARLSTEDT

Original Issue Date

08/24/2005

Effective Date

07/28/2008

Expiration Date

07/31/2011

City

FORT WAYNE

State

Zip

46825

County

INDIANA

Ever Disciplined

LastModifiedDate

11/14/2011