CAITLIN CARLSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007868

License Status

NOT RENEWED

Business

First Name

CAITLIN

Last Name

CARLSON

Business Name

CAITLIN CARLSON

Original Issue Date

08/05/2020

Effective Date

08/05/2020

Expiration Date

03/01/2022

City

BEACH PARK

State

Zip

60099

Ever Disciplined

LastModifiedDate

07/27/2022