RANDY ALAN MUDGE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028650

License Status

EXPIRED

Business

Title

First Name

RANDY

Middle

ALAN

Last Name

MUDGE

Business Name

RANDY ALAN MUDGE MD

Original Issue Date

06/08/1992

Effective Date

06/08/1992

Expiration Date

06/30/1995

City

BATTLE CREEK

State

Zip

49015

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

09/22/2006