RANDOLPH G ROBERTS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017430

License Status

EXPIRED

Business

First Name

RANDOLPH G

Last Name

ROBERTS

Suffix

Business Name

RANDOLPH G ROBERTS MD

Original Issue Date

07/10/1984

Effective Date

07/10/1984

Expiration Date

06/25/1986

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006