PATRICK HARRISON CARROLL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139266

License Status

NOT RENEWED

Business

Title

First Name

PATRICK

Middle

HARRISON

Last Name

CARROLL

Business Name

PATRICK HARRISON CARROLL MD

Original Issue Date

10/20/2015

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

WESTPORT

State

Zip

02790

Ever Disciplined

LastModifiedDate

01/14/2021