Carolyn A Montgomery

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085002389

Status

Expired (Not Renewed)

First issued

October 15, 2004

Expired

March 1, 2006

License holder

Carolyn A Montgomery

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

10/15/2004

Other Illinois licenses under this name

• IL
  Carolyn A Montgomery

  License 38*****52

  Physician Assistant Controlled Substance
  Expired

  Norris City, IL

  Expired Mar 1, 2006

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