GARRETT MICHAEL CARPENTER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073487

License Status

EXPIRED

Business

Title

First Name

GARRETT

Middle

MICHAEL

Last Name

CARPENTER

Business Name

GARRETT MICHAEL CARPENTER DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/06/2024