RYAN W CARROLL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113999

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

CARROLL

Suffix

Business Name

RYAN W CARROLL MD

Original Issue Date

06/24/2005

Effective Date

05/21/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011