JOHN A CARROLL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064215

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

CARROLL

Suffix

Business Name

JOHN A CARROLL MD

Original Issue Date

04/29/1982

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

07/11/2023