CRYSTAL JANEEN RICHARDSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083051

License Status

ACTIVE

Business

Title

First Name

CRYSTAL

Middle

JANEEN

Last Name

RICHARDSON

Business Name

CRYSTAL JANEEN RICHARDSON MD

Original Issue Date

08/07/2024

Effective Date

08/07/2024

Expiration Date

08/06/2025

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

08/04/2023