ELBERT RICHARDSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

ELBERT

Last Name

RICHARDSON

Business Name

ELBERT RICHARDSON MD

Original Issue Date

02/09/2022

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

OLD SAYBROOK

State

Zip

06475

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023