KEN RENARD RICHARDS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114696

License Status

ACTIVE

Business

First Name

KEN

Middle

RENARD

Last Name

RICHARDS

Suffix

Business Name

KEN RENARD RICHARDS MD

Original Issue Date

10/04/2005

Effective Date

08/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

08/10/2023