RANDOLPH PHILIP CHRISTIANSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059930

License Status

ACTIVE

Business

First Name

RANDOLPH PHILIP

Last Name

CHRISTIANSON

Suffix

Business Name

RANDOLPH PHILIP CHRISTIANSON MD

Original Issue Date

01/11/1980

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/10/2023