JOHN RANDALL UNDERWOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103937

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

RANDALL

Last Name

UNDERWOOD

Suffix

Business Name

JOHN RANDALL UNDERWOOD MD

Original Issue Date

12/21/2000

Effective Date

04/22/2011

Expiration Date

07/31/2014

City

LEBANON

State

Zip

37087

Ever Disciplined

LastModifiedDate

06/01/2017