RANDALL LEE FIETE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121837

License Status

ACTIVE

Business

Title

First Name

RANDALL

Middle

LEE

Last Name

FIETE

Business Name

RANDALL LEE FIETE MD

Original Issue Date

08/22/2008

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

WAUKESHA

State

Zip

53189

Ever Disciplined

LastModifiedDate

04/06/2023