JAMES R CARLSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****98

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

CARLSON

Business Name

JAMES R CARLSON

Original Issue Date

10/15/2001

Effective Date

03/02/2010

Expiration Date

03/01/2012

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

04/01/2020