ELIZABETH KATHLEEN RANDOLPH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004395

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

KATHLEEN

Last Name

RANDOLPH

Business Name

ELIZABETH KATHLEEN RANDOLPH

Original Issue Date

08/08/2012

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

ATLANTA

State

Zip

30307

Ever Disciplined

LastModifiedDate

02/04/2026