RYAN W CARROLL MD - Medical Doctor License in Illinois | # 036113999

RYAN W CARROLL MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113999

License Status

NOT RENEWED

Business

N

First Name

RYAN

Middle

W

Last Name

CARROLL

Suffix

MD

Business Name

RYAN W CARROLL MD

Original Issue Date

06/24/2005

Effective Date

05/21/2008

Expiration Date

07/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2011