GREGORY C RANDLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085968

License Status

NOT RENEWED

Business

First Name

GREGORY C

Last Name

RANDLE

Suffix

Business Name

GREGORY C RANDLE MD

Original Issue Date

04/19/1993

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

02/13/2018

Case Number

2017011325

Action

Suspension

Discipline Start Date

02/09/2018

Discipline End Date

06/10/2020

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 06/15/2020.