RANDALL E LITTLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

RANDALL E

Last Name

LITTLE

Suffix

Business Name

RANDALL E LITTLE MD

Original Issue Date

09/29/1983

Effective Date

09/29/1983

Expiration Date

07/31/1987

City

HAVANA

State

Zip

62644

County

MASON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006