TIMOTHY PATRICK CARROLL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164879

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

PATRICK

Last Name

CARROLL

Business Name

TIMOTHY PATRICK CARROLL MD

Original Issue Date

05/30/2023

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/24/2023