RANDY SCOTT FATHEREE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

RANDY

Middle

SCOTT

Last Name

FATHEREE

Suffix

Business Name

RANDY SCOTT FATHEREE DO

Original Issue Date

09/01/2004

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023