ZACHARY THOMAS RICHARDSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066444

License Status

EXPIRED

Business

Title

First Name

ZACHARY

Middle

THOMAS

Last Name

RICHARDSON

Business Name

ZACHARY THOMAS RICHARDSON MD

Original Issue Date

06/22/2015

Effective Date

06/22/2015

Expiration Date

06/21/2018

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018