COURTNEY RAE CARLSON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****52

License Status

INOPERATIVE

Business

First Name

COURTNEY

Middle

RAE

Last Name

CARLSON

Business Name

COURTNEY RAE CARLSON

Original Issue Date

10/04/2010

Effective Date

02/26/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

02/26/2014