JOSIAH F K CARROLL JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

JOSIAH F K

Last Name

CARROLL JR

Suffix

Business Name

JOSIAH F K CARROLL JR MD

Original Issue Date

08/30/1985

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023