RANDALL K WOLF MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000322

License Status

EXPIRED

Business

First Name

RANDALL

Middle

Last Name

WOLF

Suffix

Business Name

RANDALL K WOLF MD

Original Issue Date

06/05/2007

Effective Date

06/05/2007

Expiration Date

12/04/2007

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2008