WILLIAM JESSUP CARROLL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

WILLIAM

Middle

JESSUP

Last Name

CARROLL

Business Name

WILLIAM JESSUP CARROLL MD

Original Issue Date

04/04/2017

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

NEW SMYRNA BEACH

State

Zip

32168

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023