RANDAL D BLADEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080020

License Status

NOT RENEWED

Business

First Name

RANDAL D

Last Name

BLADEL

Suffix

Business Name

RANDAL D BLADEL MD

Original Issue Date

06/01/1990

Effective Date

06/01/1990

Expiration Date

07/31/1996

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

06/21/2017