DENNIS M CARROLL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

DENNIS M

Last Name

CARROLL

Suffix

Business Name

DENNIS M CARROLL MD

Original Issue Date

05/07/1985

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

LINCOLN

State

Zip

62656

County

LOGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023