PAUL X CARRYON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

PAUL X

Last Name

CARRYON

Business Name

PAUL X CARRYON

Original Issue Date

01/01/1997

Effective Date

09/24/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023