HENRY CLIFFORD CARLS MD Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097000248

License Status

CANCELLED

Business

Business Name

HENRY CLIFFORD CARLS MD

Original Issue Date

12/20/1973

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/18/2005