RANDA AMIN BASCHARON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

RANDA AMIN

Last Name

BASCHARON

Business Name

RANDA AMIN BASCHARON

Original Issue Date

03/07/2002

Effective Date

03/07/2002

Expiration Date

07/31/2008

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020