LAURA C RANDOLPH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100030

License Status

ACTIVE

Business

First Name

LAURA

Middle

Last Name

RANDOLPH

Suffix

Business Name

LAURA C RANDOLPH MD

Original Issue Date

04/13/1999

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/20/2023