TIMOTHY CLIFFORD CARLL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070134

License Status

EXPIRED

Business

Title

First Name

TIMOTHY

Middle

CLIFFORD

Last Name

CARLL

Business Name

TIMOTHY CLIFFORD CARLL MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

10/11/2022