BRIAN RICHARD CARLSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106902

License Status

INACTIVE

Business

First Name

BRIAN

Middle

RICHARD

Last Name

CARLSON

Suffix

Business Name

BRIAN RICHARD CARLSON MD

Original Issue Date

05/08/2002

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

HERMITAGE

State

Zip

37076

County

TENNESSEE

Ever Disciplined

LastModifiedDate

05/18/2020