Information as of 11/18/2019

Last Updated by Licensee on 09/01/2019

Wendell Lewis Randall - MD
License#: 
Issue Date: 
36016
09/19/1992
License Status: 
Renewal Date:
Active  
11/28/2020  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 36016 09/19/1992 
Inactive License
Active Supervisee
SuperviseeTypeStatusApproval Date
JACKSON, SYLVIA NPActive08/26/2019
JONES, LISA NPActive02/28/2019
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Kansas
Missouri
North Dakota
Pennsylvania
Virginia
Out of Country Active/Inactive Licenses
None Reported
Applicant Photo