LAWRENCE KEITH RICHARDS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039477

License Status

NOT RENEWED

Business

Title

First Name

LAWRENCE

Middle

KEITH

Last Name

RICHARDS

Business Name

LAWRENCE KEITH RICHARDS MD

Original Issue Date

11/25/1964

Effective Date

08/01/2014

Expiration Date

07/31/2017

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/01/2017