Keith J Carlson
ExpiredIllinois license 085000097
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085000097
- Status
- Expired (Not Renewed)
- First issued
- January 25, 1981
- Expired
- January 25, 1983
- License holder
- Keith J Carlson
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 01/25/1981
Contact
Nashville, IL 62263
Washington County