MICAH ROSE RICHARDSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173831

License Status

ACTIVE

Business

Title

First Name

MICAH

Middle

ROSE

Last Name

RICHARDSON

Business Name

MICAH ROSE RICHARDSON MD

Original Issue Date

02/24/2025

Effective Date

02/24/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/13/2025