DAVID ALEXANDER RANDOLPH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041224

License Status

INACTIVE

Business

First Name

DAVID ALEXANDER

Last Name

RANDOLPH

Suffix

Business Name

DAVID ALEXANDER RANDOLPH MD

Original Issue Date

07/28/1967

Effective Date

07/28/1967

Expiration Date

07/31/2005

City

BARRINGTON HILLS

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006