ERIC JON CARLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105488

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

JON

Last Name

CARLSON

Business Name

ERIC JON CARLSON MD

Original Issue Date

08/27/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

VILLANOVA

State

Zip

19085

Ever Disciplined

LastModifiedDate

11/06/2008