RANDY S RICH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

RANDY S

Last Name

RICH

Business Name

RANDY S RICH

Original Issue Date

02/15/1996

Effective Date

02/15/1996

Expiration Date

07/31/2008

City

NILES

State

Zip

60714

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020