JOHN-SCOTT AUSTEN CARROLL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067421

License Status

EXPIRED

Business

Title

First Name

JOHN-SCOTT

Middle

AUSTEN

Last Name

CARROLL

Business Name

JOHN-SCOTT AUSTEN CARROLL MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/25/2018