RANDY LYLE CALISOFF MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

INOPERATIVE

Business

First Name

RANDY

Middle

LYLE

Last Name

CALISOFF

Suffix

Business Name

RANDY LYLE CALISOFF MD

Original Issue Date

03/31/2011

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023