CHRISTIAN LACELLE CARLSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147917

License Status

NOT RENEWED

Business

Title

First Name

CHRISTIAN

Middle

LACELLE

Last Name

CARLSON

Business Name

CHRISTIAN LACELLE CARLSON MD

Original Issue Date

12/18/2018

Effective Date

12/18/2018

Expiration Date

09/30/2020

City

SAN ANTONIO

State

Zip

78209

Ever Disciplined

LastModifiedDate

01/14/2021