RANDALL CLIVE EDGELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041410

License Status

EXPIRED

Business

First Name

RANDALL

Middle

CLIVE

Last Name

EDGELL

Suffix

Business Name

RANDALL CLIVE EDGELL MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2001

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006