MICHAEL DAVID CARROLL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056520

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

DAVID

Last Name

CARROLL

Business Name

MICHAEL DAVID CARROLL MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2010

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

06/24/2010