SAMUEL JOHN RANDALL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072604

License Status

CANCELLED

Business

Title

First Name

SAMUEL

Middle

JOHN

Last Name

RANDALL

Business Name

SAMUEL JOHN RANDALL MD

Original Issue Date

06/23/2018

Effective Date

06/23/2018

Expiration Date

06/22/2021

City

HOUSTON

State

Zip

77030

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/01/2018