JOSIAH F K CARROLL JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017376

License Status

EXPIRED

Business

First Name

JOSIAH F K

Last Name

CARROLL JR

Suffix

Business Name

JOSIAH F K CARROLL JR MD

Original Issue Date

06/26/1984

Effective Date

06/26/1984

Expiration Date

07/01/1986

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006