BRIAN C RANDALL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071650

License Status

NOT RENEWED

Business

First Name

BRIAN C

Last Name

RANDALL

Business Name

BRIAN C RANDALL

Original Issue Date

09/17/1985

Effective Date

09/17/1985

Expiration Date

07/31/2005

City

CEDAR RAPIDS

State

Zip

52403

County

IOWA

Ever Disciplined

LastModifiedDate

01/06/2016