TIMOTHY PATRICK CARROLL MD - Medical Doctor License in Illinois | # 125075812

TIMOTHY PATRICK CARROLL MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075812

License Status

CANCELLED

Business

N

Title

MD

First Name

TIMOTHY

Middle

PATRICK

Last Name

CARROLL

Business Name

TIMOTHY PATRICK CARROLL MD

Original Issue Date

06/26/2020

Effective Date

06/26/2020

Expiration Date

06/25/2023

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

05/20/2020