PATRICK HARRISON CARROLL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

PATRICK

Middle

HARRISON

Last Name

CARROLL

Business Name

PATRICK HARRISON CARROLL MD

Original Issue Date

10/20/2015

Effective Date

10/20/2015

Expiration Date

07/31/2017

City

DEERFIELD

State

Zip

60015

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

04/05/2020