JOSIAH F K CARROLL JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

JOSIAH F K

Last Name

CARROLL JR

Suffix

Business Name

JOSIAH F K CARROLL JR MD

Original Issue Date

03/22/1994

Effective Date

06/26/2020

Expiration Date

07/31/2023

City

ERIE

State

Zip

61250

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023