CLIFFORD S RANDALL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

CLIFFORD S

Last Name

RANDALL

Suffix

DDS

Business Name

CLIFFORD S RANDALL DDS

Original Issue Date

01/01/1998

Effective Date

09/25/2009

Expiration Date

09/30/2012

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012