KURTIS M CARLSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****14

License Status

NOT RENEWED

Business

First Name

KURTIS M

Last Name

CARLSON

Business Name

KURTIS M CARLSON

Original Issue Date

03/23/2001

Effective Date

03/13/2022

Expiration Date

03/31/2024

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025