Idaho
Division of Occupational and Professional Licenses
PHILIP R. CARLSON
Board Of Medicine
License number
M-4630
Date granted
06/02/1983
Date expires
07/01/1981
Class
Board Of Medicine
Status
Canceled
Address
4513 South Donald Court Spokane WA 99203
idaholicensing.com
ID 48342372
LAST UPDATED 2026-04-26 17:44:19 UTC
LAST UPDATED 2026-04-26 17:44:19 UTC
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