Carolyn M Booth
ExpiredIllinois license 38*****58
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****58
- Status
- Expired (Not Renewed)
- First issued
- March 13, 2001
- Expired
- March 1, 2010
- License holder
- Carolyn M Booth
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 12/14/2007
Other Illinois licenses under this name
-
IL
InactiveSaint Louis, MOExpired Mar 1, 2010
Contact
Centreville, IL 62207
Saint Clair County