RANDALL R RILEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095313

License Status

NOT RENEWED

Business

First Name

RANDALL R

Last Name

RILEY

Suffix

Business Name

RANDALL R RILEY MD

Original Issue Date

04/11/1997

Effective Date

04/11/1997

Expiration Date

07/31/1999

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

09/20/2006