BRUCE A CARLSON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

BRUCE A

Last Name

CARLSON

Business Name

BRUCE A CARLSON

Original Issue Date

01/01/1998

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006