PAULINE C CARROLL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124683

License Status

NOT RENEWED

Business

Title

First Name

PAULINE

Middle

Last Name

CARROLL

Business Name

PAULINE C CARROLL DO

Original Issue Date

12/01/2009

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

TULSA

State

Zip

74105

Ever Disciplined

LastModifiedDate

11/01/2017