LAURA C RANDOLPH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034536

License Status

EXPIRED

Business

First Name

LAURA

Middle

Last Name

RANDOLPH

Suffix

Business Name

LAURA C RANDOLPH MD

Original Issue Date

05/20/1996

Effective Date

05/20/1996

Expiration Date

06/30/1999

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006