ELIZABETH KATHLEEN RANDOLPH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

KATHLEEN

Last Name

RANDOLPH

Business Name

ELIZABETH KATHLEEN RANDOLPH

Original Issue Date

09/19/2012

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

ATLANTA

State

Zip

30307

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2026