COURTNEY RAE CARLSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003873

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

RAE

Last Name

CARLSON

Business Name

COURTNEY RAE CARLSON

Original Issue Date

09/16/2010

Effective Date

02/26/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016