RANDALL JAY RISINGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111037

License Status

NOT RENEWED

Business

First Name

RANDALL

Middle

JAY

Last Name

RISINGER

Suffix

Business Name

RANDALL JAY RISINGER MD

Original Issue Date

03/18/2004

Effective Date

03/18/2004

Expiration Date

07/31/2005

City

SOUTH BURLINGTON

State

Zip

05403

County

VERMONT

Ever Disciplined

LastModifiedDate

03/15/2011