JESSICA JULIETTE RICHARDSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065766

License Status

CANCELLED

Business

Title

First Name

JESSICA

Middle

JULIETTE

Last Name

RICHARDSON

Business Name

JESSICA JULIETTE RICHARDSON MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/11/2014