AMANDA LYNN CARLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158489

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

LYNN

Last Name

CARLSON

Business Name

AMANDA LYNN CARLSON MD

Original Issue Date

10/12/2021

Effective Date

10/12/2021

Expiration Date

07/31/2023

City

PORTLAND

State

Zip

97227

Ever Disciplined

LastModifiedDate

11/30/2023