WILLIAM RANDOLPH HARDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

RANDOLPH

Last Name

HARDY

Suffix

Business Name

WILLIAM RANDOLPH HARDY MD

Original Issue Date

04/17/2000

Effective Date

04/29/2014

Expiration Date

07/31/2017

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017