RANDOLPH M FREEMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

RANDOLPH M

Last Name

FREEMAN

Suffix

Business Name

RANDOLPH M FREEMAN MD

Original Issue Date

05/02/1991

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023