T RANDALL KINSELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

T RANDALL

Last Name

KINSELLA

Suffix

Business Name

T RANDALL KINSELLA MD

Original Issue Date

07/31/1992

Effective Date

06/06/2014

Expiration Date

07/31/2017

City

VERNON HILLS

State

Zip

60061

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020