RANDALL J ZIMMERMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000261

License Status

EXPIRED

Business

First Name

RANDALL

Middle

Last Name

ZIMMERMAN

Business Name

RANDALL J ZIMMERMAN

Original Issue Date

10/27/1994

Effective Date

10/27/1994

Expiration Date

12/30/1994

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006