RANDALL FREDERIC DRYER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

INACTIVE

Business

First Name

RANDALL FREDERIC

Last Name

DRYER

Suffix

Business Name

RANDALL FREDERIC DRYER MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006