DAVID P RANDALL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094427

License Status

ACTIVE

Business

First Name

DAVID

Middle

Last Name

RANDALL

Suffix

Business Name

DAVID P RANDALL DO

Original Issue Date

10/23/1996

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

06/15/2023