ALEXIS CARROLL - Physician Assistant License in Illinois | # 085007252

ALEXIS CARROLL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007252

License Status

NOT RENEWED

Business

N

First Name

ALEXIS

Last Name

CARROLL

Business Name

ALEXIS CARROLL

Original Issue Date

09/05/2019

Effective Date

01/21/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022