JOHN A CARROLL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

CARROLL

Suffix

Business Name

JOHN A CARROLL MD

Original Issue Date

10/31/1988

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023