BRIAN DAVID O'CARROLL DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004922

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

DAVID

Last Name

O'CARROLL

Suffix

DPM

Business Name

BRIAN DAVID O'CARROLL DPM

Original Issue Date

07/20/1999

Effective Date

02/01/2007

Expiration Date

01/31/2009

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/17/2009