RANDALL A LAVENDER
Medical Practice in Beaver, WV

License number
Florida 36105
Issued Date
Sep 1, 1999
Effective Date
Oct 11, 2004
Expiration Date
Jun 30, 2002
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address
PO Box 1247, Beaver, WV 25813
Phone
(681) 238-0434
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.