KATHRYN FORD CARROLL MD - Medical Doctor License in Illinois | # 125067753

KATHRYN FORD CARROLL MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067753

License Status

EXPIRED

Business

N

Title

MD

First Name

KATHRYN

Middle

FORD

Last Name

CARROLL

Business Name

KATHRYN FORD CARROLL MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

10/25/2018