License holder summary

FORKUM , RANDALL C is a Department Of Health - Emergency Medical Personnel licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 06/12/1997 and expired on 11/30/1998.

Department of Health

Board of Medical Examiners

FORKUM , RANDALL C
Department Of Health - Emergency Medical Personnel
License number
23167
Date granted
06/12/1997
Date expires
11/30/1998
Class
Department Of Health - Emergency Medical Personnel
Status
Expired
Address
medicaltn.com
ID 42019255
LAST UPDATED 2024-02-28 09:43:52 UTC

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