DAVID A RANDOLPH MD SC - Medical Corporation License in Illinois | # 042002416

DAVID A RANDOLPH MD SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042002416

License Status

NOT RENEWED

Business

Y

Business Name

DAVID A RANDOLPH MD SC

Original Issue Date

07/30/1975

Effective Date

07/30/1975

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006