LAURA C RANDOLPH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

LAURA

Middle

Last Name

RANDOLPH

Suffix

Business Name

LAURA C RANDOLPH MD

Original Issue Date

08/20/2001

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023