CARROLL CHRISTOPHER CHRISTIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063603

License Status

NOT RENEWED

Business

First Name

CARROLL

Middle

CHRISTOPHER

Last Name

CHRISTIE

Suffix

Business Name

CARROLL CHRISTOPHER CHRISTIE MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

10/20/2016

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/09/2017