RANDALL J FALCONER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

RANDALL J

Last Name

FALCONER

Suffix

Business Name

RANDALL J FALCONER MD

Original Issue Date

08/18/1983

Effective Date

08/18/1983

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006