MICHAEL D CARROLL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

CARROLL

Suffix

Business Name

MICHAEL D CARROLL MD

Original Issue Date

05/21/2001

Effective Date

05/21/2001

Expiration Date

07/31/2005

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020