RANDOLPH M MCCONNIE 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

RANDOLPH M

Last Name

MCCONNIE

Business Name

RANDOLPH M MCCONNIE

Original Issue Date

07/23/1990

Effective Date

07/23/1990

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020