JAMES R CARROLL - Medical Doctor License in Illinois | # 125029396

JAMES R CARROLL

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029396

License Status

EXPIRED

Business

N

First Name

JAMES

Middle

ROBERT

Last Name

CARROLL

Business Name

JAMES R CARROLL

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

06/21/1996

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006