JEROME R RANDALL JR Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****54

License Status

ACTIVE

Business

First Name

JEROME

Middle

Last Name

RANDALL JR

Business Name

JEROME R RANDALL JR

Original Issue Date

09/17/2009

Effective Date

01/06/2025

Expiration Date

01/31/2027

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025