ROBERT PERRY RANDOLPH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068124

License Status

INACTIVE

Business

First Name

ROBERT PERRY

Last Name

RANDOLPH

Suffix

Business Name

ROBERT PERRY RANDOLPH MD

Original Issue Date

12/30/1983

Effective Date

12/30/1983

Expiration Date

07/31/2005

City

VIRGINIA BEACH

State

Zip

23451

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/09/2006