RANDOLPH HARLEN ROBERTSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127163

License Status

NOT RENEWED

Business

First Name

RANDOLPH

Middle

HARLEN

Last Name

ROBERTSON

Suffix

Business Name

RANDOLPH HARLEN ROBERTSON MD

Original Issue Date

01/31/2011

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

11/17/2014