KEVIN ANDREW RICHARDSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125892

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

ANDREW

Last Name

RICHARDSON

Business Name

KEVIN ANDREW RICHARDSON MD

Original Issue Date

06/01/2010

Effective Date

12/12/2025

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/12/2025