SAMUEL JOHN RANDALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

SAMUEL

Middle

JOHN

Last Name

RANDALL

Business Name

SAMUEL JOHN RANDALL MD

Original Issue Date

06/10/2021

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

HOUSTON

State

Zip

77030

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023