BRIAN DAVID O'CARROLL DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000332

License Status

EXPIRED

Business

First Name

BRIAN

Middle

DAVID

Last Name

O'CARROLL

Suffix

DPM

Business Name

BRIAN DAVID O'CARROLL DPM

Original Issue Date

06/17/1997

Effective Date

06/17/1997

Expiration Date

06/30/1999

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/25/2006