MICHAEL C CARROLL DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005345

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

CARROLL

Suffix

DPM

Business Name

MICHAEL C CARROLL DPM

Original Issue Date

08/15/2007

Effective Date

11/24/2008

Expiration Date

01/31/2011

City

GREENWOOD

State

Zip

46142

County

INDIANA

Ever Disciplined

LastModifiedDate

03/10/2011