RANDEL O CARDOTT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

RANDEL O

Last Name

CARDOTT

Suffix

Business Name

RANDEL O CARDOTT MD

Original Issue Date

01/12/2007

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

CORDOVA

State

Zip

61242

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023