RANDOLPH L MCCREA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

RANDOLPH

Middle

Last Name

MCCREA

Suffix

Business Name

RANDOLPH L MCCREA MD

Original Issue Date

04/27/1990

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

DUNLAP

State

Zip

61525

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023