STEPHEN THOMAS RANDAG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

STEPHEN THOMAS

Last Name

RANDAG

Suffix

Business Name

STEPHEN THOMAS RANDAG MD

Original Issue Date

01/01/1997

Effective Date

06/20/2014

Expiration Date

07/31/2017

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020