KRISTEN JEAN CARROLL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155321

License Status

NOT RENEWED

Business

Title

First Name

KRISTEN

Middle

JEAN

Last Name

CARROLL

Business Name

KRISTEN JEAN CARROLL MD

Original Issue Date

01/19/2021

Effective Date

01/19/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023