RANDALL C CULPEPPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

RANDALL C

Last Name

CULPEPPER

Suffix

Business Name

RANDALL C CULPEPPER MD

Original Issue Date

10/16/1990

Effective Date

10/16/1990

Expiration Date

07/31/1996

City

GREAT LAKES

State

Zip

60088

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011