RANDY P AYRES MD - Medical Doctor License in Illinois | # 125047901

RANDY P AYRES MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047901

License Status

CANCELLED

Business

N

First Name

RANDY

Middle

P

Last Name

AYRES

Suffix

MD

Business Name

RANDY P AYRES MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006