GAINES EDWARD RICHARDSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102494

License Status

ACTIVE

Business

First Name

GAINES

Middle

EDWARD

Last Name

RICHARDSON

Suffix

Business Name

GAINES EDWARD RICHARDSON MD

Original Issue Date

05/16/2000

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

07/04/2023