JAMES R CARROLL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029396

License Status

EXPIRED

Business

First Name

JAMES

Middle

ROBERT

Last Name

CARROLL

Business Name

JAMES R CARROLL

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

06/21/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006