TIMOTHY CARROLL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021303

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Last Name

CARROLL

Business Name

TIMOTHY CARROLL

Original Issue Date

09/22/1988

Effective Date

09/22/1988

Expiration Date

09/30/1992

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005