GARRETT MICHAEL CARPENTER DO - Medical Doctor License in Illinois | # 125073487

GARRETT MICHAEL CARPENTER DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073487

License Status

EXPIRED

Business

N

Title

DO

First Name

GARRETT

Middle

MICHAEL

Last Name

CARPENTER

Business Name

GARRETT MICHAEL CARPENTER DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

03/06/2024