RANDY R ISAACS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028301

License Status

EXPIRED

Business

First Name

RANDY R

Last Name

ISAACS

Suffix

Business Name

RANDY R ISAACS MD

Original Issue Date

05/22/1992

Effective Date

05/22/1992

Expiration Date

08/31/1995

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006