RANDY K WARD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021089

License Status

EXPIRED

Business

First Name

RANDY K

Last Name

WARD

Suffix

Business Name

RANDY K WARD MD

Original Issue Date

06/02/1987

Effective Date

06/02/1987

Expiration Date

06/23/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006