JAMES R CARLSON Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001613

License Status

INACTIVE

Business

First Name

JAMES

Middle

Last Name

CARLSON

Business Name

JAMES R CARLSON

Original Issue Date

07/20/2001

Effective Date

03/02/2010

Expiration Date

03/01/2012

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/25/2012