JAMES BLACK CARROLL OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011892

License Status

ACTIVE

Business

Title

First Name

JAMES

Middle

BLACK

Last Name

CARROLL

Business Name

JAMES BLACK CARROLL OD

Original Issue Date

08/12/2024

Effective Date

01/08/2026

Expiration Date

03/31/2028

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/08/2026