License holder summary

GUY ROBERT RANDOLPH is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GUY ROBERT RANDOLPH is 705 Shannon Drive, Chesterton IN 46304. This licensed professional license is current. The license was granted 07/15/1999 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

GUY ROBERT RANDOLPH
Controlled Substance Registration - Physician
License number
01050834B
Date granted
07/15/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
705 Shannon Drive, Chesterton IN 46304
indianalicensing.org
ID 5833648
LAST UPDATED 2024-05-12 00:20:02 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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