RANDOLPH PHILIP CHRISTIANSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

RANDOLPH PHILIP

Last Name

CHRISTIANSON

Suffix

Business Name

RANDOLPH PHILIP CHRISTIANSON MD

Original Issue Date

12/30/1981

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023