JEROME R RANDALL JR Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

JEROME

Middle

Last Name

RANDALL JR

Business Name

JEROME R RANDALL JR

Original Issue Date

03/18/2003

Effective Date

11/15/2010

Expiration Date

01/31/2013

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2013