MICHAEL DAVID CARROLL MD - Medical Doctor License in Illinois | # 125056520

MICHAEL DAVID CARROLL MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056520

License Status

EXPIRED

Business

N

Title

MD

First Name

MICHAEL

Middle

DAVID

Last Name

CARROLL

Business Name

MICHAEL DAVID CARROLL MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2010

State

IL

Specialty/Qualifier

Transitional Year

Ever Disciplined

N

LastModifiedDate

06/24/2010