CURTIS LOREN CORNELLA-CARLSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078960

License Status

NOT RENEWED

Business

First Name

CURTIS LOREN

Last Name

CORNELLA-CARLSON

Business Name

CURTIS LOREN CORNELLA-CARLSON

Original Issue Date

05/31/1989

Effective Date

05/31/1989

Expiration Date

07/31/2002

City

HARTLAND

State

Zip

53029

Ever Disciplined

LastModifiedDate

10/09/2006