RANDY SCOTT FATHEREE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112241

License Status

ACTIVE

Business

First Name

RANDY

Middle

SCOTT

Last Name

FATHEREE

Suffix

Business Name

RANDY SCOTT FATHEREE DO

Original Issue Date

08/31/2004

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

04/07/2023