CHRISTOPHER L CARROLL Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

CANCELLED

Business

First Name

CHRISTOPHER

Middle

Last Name

CARROLL

Business Name

CHRISTOPHER L CARROLL

Original Issue Date

02/14/2000

Effective Date

02/14/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006