FRED RICHARDSON JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021093

License Status

EXPIRED

Business

First Name

FRED

Last Name

RICHARDSON JR

Suffix

Business Name

FRED RICHARDSON JR MD

Original Issue Date

06/02/1987

Effective Date

06/02/1987

Expiration Date

06/22/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006