RANDALL T BELLOWS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

RANDALL T

Last Name

BELLOWS

Suffix

Business Name

RANDALL T BELLOWS MD

Original Issue Date

08/10/1994

Effective Date

08/10/1994

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017