BRIAN JOHN CARROLL DO - Medical Doctor License in Illinois | # 125064529

BRIAN JOHN CARROLL DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064529

License Status

CANCELLED

Business

N

Title

DO

First Name

BRIAN

Middle

JOHN

Last Name

CARROLL

Business Name

BRIAN JOHN CARROLL DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

State

IL

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

N

LastModifiedDate

05/11/2017