ADAM N CARROLL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070020376

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

CARROLL

Business Name

ADAM N CARROLL

Original Issue Date

10/28/2013

Effective Date

09/24/2018

Expiration Date

09/30/2020

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/14/2021