RANDALL CLIVE EDGELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145444

License Status

ACTIVE

Business

First Name

RANDALL

Middle

CLIVE

Last Name

EDGELL

Suffix

Business Name

RANDALL CLIVE EDGELL MD

Original Issue Date

03/23/2018

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

05/13/2023