T RANDALL KINSELLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

T RANDALL

Last Name

KINSELLA

Suffix

Business Name

T RANDALL KINSELLA MD

Original Issue Date

01/07/1985

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023