RICHARD PAUL CARROLL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043802

License Status

NOT RENEWED

Business

First Name

RICHARD PAUL

Last Name

CARROLL

Suffix

Business Name

RICHARD PAUL CARROLL MD

Original Issue Date

09/24/1970

Effective Date

09/24/1970

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006