RANDELL J COULTER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029476

License Status

EXPIRED

Business

First Name

RANDELL

Middle

Last Name

COULTER

Business Name

RANDELL J COULTER

Original Issue Date

05/06/1993

Effective Date

05/06/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006