RANDALL J FALCONER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014026

License Status

EXPIRED

Business

First Name

RANDALL J

Last Name

FALCONER

Suffix

Business Name

RANDALL J FALCONER MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/01/1984

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006