ANDREW PHILLIP CARLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128157

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

PHILLIP

Last Name

CARLSON

Business Name

ANDREW PHILLIP CARLSON MD

Original Issue Date

06/22/2011

Effective Date

06/04/2014

Expiration Date

07/31/2017

City

ALBUQUERQUE

State

Zip

87131

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

11/01/2017