RANDY ALAN MUDGE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

Title

First Name

RANDY

Middle

ALAN

Last Name

MUDGE

Business Name

RANDY ALAN MUDGE MD

Original Issue Date

06/24/2015

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

BATTLE CREEK

State

Zip

49015

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023