Sam Adam Carroll
ExpiredIllinois license 31*****40
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 31*****40
- Status
- Expired (Not Renewed)
- First issued
- June 9, 2009
- Expired
- September 30, 2012
- License holder
- Sam Adam Carroll
- Entity type
- Individual
Classifications
- Licensed Dentist Controlled Substance (Dental) Dental
More from the license record
- Specialty
- Practitioner
- Controlled substance schedules
- II III IV V
- Current term began
- 06/09/2009
Other Illinois licenses under this name
-
IL
InactiveGermantown Hills, ILExpired Sep 30, 2012
-
IL
ExpiredWashington, ILExpired Sep 30, 2012
Contact
Peoria, IL 61614
Peoria County