TIMOTHY CLIFFORD CARLL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152090

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

CLIFFORD

Last Name

CARLL

Business Name

TIMOTHY CLIFFORD CARLL MD

Original Issue Date

03/06/2020

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/23/2023