JEROME R RANDALL JR Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005113

License Status

ACTIVE

Business

First Name

JEROME

Middle

Last Name

RANDALL JR

Business Name

JEROME R RANDALL JR

Original Issue Date

02/19/2003

Effective Date

01/06/2025

Expiration Date

01/31/2027

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

02/26/2025