RANDOLPH G ROBERTS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073216

License Status

NOT RENEWED

Business

First Name

RANDOLPH G

Last Name

ROBERTS

Suffix

Business Name

RANDOLPH G ROBERTS MD

Original Issue Date

07/18/1986

Effective Date

07/18/1986

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006