RANDAL O DULL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

Title

First Name

RANDAL

Middle

Last Name

DULL

Business Name

RANDAL O DULL MD

Original Issue Date

01/19/2012

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021