AMANDA LYNN CARROLL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134130

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Middle

LYNN

Last Name

CARROLL

Business Name

AMANDA LYNN CARROLL DO

Original Issue Date

11/05/2013

Effective Date

05/11/2017

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/14/2021