MICHAEL D 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

MICHAEL

Middle

Last Name

CARROLL

Suffix

Business Name

MICHAEL D CARROLL MD

Original Issue Date

06/12/1992

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023