RANDY K SULAVER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143964

License Status

ACTIVE

Business

Title

First Name

RANDY

Middle

Last Name

SULAVER

Business Name

RANDY K SULAVER MD

Original Issue Date

07/27/2017

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

Ever Disciplined

LastModifiedDate

04/10/2023