DAVID A RANDOLPH MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617025

License Status

NOT RENEWED

Business

Business Name

DAVID A RANDOLPH MD SC

Original Issue Date

01/18/2000

Effective Date

01/18/2000

Expiration Date

01/01/2001

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006