SAMUEL JOHN RANDALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156701

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

JOHN

Last Name

RANDALL

Business Name

SAMUEL JOHN RANDALL MD

Original Issue Date

04/24/2021

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

02/11/2025