CHARLES P CARROLL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046438

License Status

NOT RENEWED

Business

First Name

CHARLES P

Last Name

CARROLL

Suffix

Business Name

CHARLES P CARROLL MD

Original Issue Date

09/18/1972

Effective Date

09/18/1972

Expiration Date

07/31/1987

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

09/20/2006