TERRY SCOTT RANDELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

TERRY SCOTT

Last Name

RANDELL

Suffix

Business Name

TERRY SCOTT RANDELL MD

Original Issue Date

04/28/1989

Effective Date

04/28/1989

Expiration Date

07/31/2005

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006