RANDOLPH M MCCONNIE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

RANDOLPH M

Last Name

MCCONNIE

Business Name

RANDOLPH M MCCONNIE

Original Issue Date

07/12/1989

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2023