RANDALL F RANDAZZO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

RANDALL F

Last Name

RANDAZZO

Suffix

Business Name

RANDALL F RANDAZZO MD

Original Issue Date

08/08/1988

Effective Date

08/08/1988

Expiration Date

07/31/2008

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020