CARLTON DUANE RANDLEMAN JR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000533

License Status

EXPIRED

Business

Title

First Name

CARLTON

Middle

DUANE

Last Name

RANDLEMAN

Business Name

CARLTON DUANE RANDLEMAN JR

Original Issue Date

01/19/2017

Effective Date

01/19/2017

Expiration Date

07/18/2017

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

07/19/2018