RANDY E OLIVER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

RANDY E

Last Name

OLIVER

Suffix

Business Name

RANDY E OLIVER MD

Original Issue Date

08/16/1983

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

METROPOLIS

State

Zip

62960

County

MASSAC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023