RANDALL J FALCONER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067358

License Status

NOT RENEWED

Business

First Name

RANDALL J

Last Name

FALCONER

Suffix

Business Name

RANDALL J FALCONER MD

Original Issue Date

08/26/1983

Effective Date

08/26/1983

Expiration Date

07/31/2002

City

KINGSPORT

State

Zip

37664

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/04/2007