RANDY G COWART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

RANDY G

Last Name

COWART

Suffix

Business Name

RANDY G COWART MD

Original Issue Date

09/28/1998

Effective Date

09/28/1998

Expiration Date

07/31/2005

City

CHESTER

State

Zip

62233

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020