JAMES RANDALL OWEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

RANDALL

Last Name

OWEN

Suffix

Business Name

JAMES RANDALL OWEN MD

Original Issue Date

02/20/2001

Effective Date

11/18/2011

Expiration Date

07/31/2014

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020