BRENT E RICHARDSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092502

License Status

ACTIVE

Business

First Name

BRENT E

Last Name

RICHARDSON

Suffix

Business Name

BRENT E RICHARDSON MD

Original Issue Date

03/06/1996

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/12/2023