RANDALL J REA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064273

License Status

INACTIVE

Business

First Name

RANDALL J

Last Name

REA

Suffix

Business Name

RANDALL J REA MD

Original Issue Date

04/29/1982

Effective Date

04/29/1982

Expiration Date

07/31/1987

City

SANTA CRUZ

State

Zip

95060

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006