MICHAEL C CARROLL DPM - Podiatrist License in Indiana | # 016005345

MICHAEL C CARROLL DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005345

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

C

Last Name

CARROLL

Suffix

DPM

Business Name

MICHAEL C CARROLL DPM

Original Issue Date

08/15/2007

Effective Date

11/24/2008

Expiration Date

01/31/2011

State

IN

Ever Disciplined

N

LastModifiedDate

03/10/2011