BRIAN DAVID O'CARROLL DPM - Podiatrist License in Illinois | # 135000332

BRIAN DAVID O'CARROLL DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000332

License Status

EXPIRED

Business

N

First Name

BRIAN

Middle

DAVID

Last Name

O'CARROLL

Suffix

DPM

Business Name

BRIAN DAVID O'CARROLL DPM

Original Issue Date

06/17/1997

Effective Date

06/17/1997

Expiration Date

06/30/1999

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006