JOHN RANDALL UNDERWOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

RANDALL

Last Name

UNDERWOOD

Suffix

Business Name

JOHN RANDALL UNDERWOOD MD

Original Issue Date

12/27/2000

Effective Date

04/22/2011

Expiration Date

07/31/2014

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014