DAVID P RANDALL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031060

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

RANDALL

Suffix

Business Name

DAVID P RANDALL DO

Original Issue Date

05/11/1994

Effective Date

05/11/1994

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006