| Physician Search | ||
| Physician Records |
| Physician Last Name: | Carlson | |||
| Physician First Name: | Kenneth | |||
| Physician Middle Name: | C | |||
| Address: | Address redacted | |||
| License Number: | 190393 | |||
| License Type: | MD | |||
| Year of Birth: | 1955 | |||
| Effective Date: | 04/16/2012 | |||
| Action Description for DOH Webpage: | License surrender | |||
| Misconduct Description for DOH Webpage: | The physician admitted guilt to the charge of practicing while his license was suspended or inactive and fraudulent practice. | |||
| License Limitations or Conditions for DOH Webpage: | ||||
| Board Order: |
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