MICHAEL C CARROLL DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000479

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

CARROLL

Suffix

DPM

Business Name

MICHAEL C CARROLL DPM

Original Issue Date

06/11/2001

Effective Date

06/11/2001

Expiration Date

06/30/2002

City

SCHILLER PARK

State

Zip

60176

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006