License holder summary

DEREK CARL CARLSON is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for DEREK CARL CARLSON is De Pere WI 54115. This medical practitioner license is current. The license was granted 07/31/2000 and expired on 12/31/2016.

Department of State

Board of Medicine

DEREK CARL CARLSON
Medical Physician And Surgeon
License number
MD070748L
Date granted
07/31/2000
Date expires
12/31/2016
Class
Medical Physician And Surgeon
Status
Active
Address
De Pere WI 54115
medicinepa.com
ID 37598297
LAST UPDATED 2026-04-04 07:47:26 UTC

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