T RANDALL KINSELLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069577

License Status

ACTIVE

Business

First Name

T RANDALL

Last Name

KINSELLA

Suffix

Business Name

T RANDALL KINSELLA MD

Original Issue Date

09/25/1984

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

06/07/2023