BRIAN DAVID O'CARROLL DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****19

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

07/21/1999

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009