RANDALL S PASS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116809

License Status

ACTIVE

Business

First Name

RANDALL

Middle

Last Name

PASS

Suffix

Business Name

RANDALL S PASS MD

Original Issue Date

08/24/2006

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MAKANDA

State

Zip

62958

County

JACKSON

Ever Disciplined

LastModifiedDate

04/06/2023