CHRISTY L RICHARDSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

CHRISTY

Middle

Last Name

RICHARDSON

Business Name

CHRISTY L RICHARDSON

Original Issue Date

04/03/2007

Effective Date

04/03/2007

Expiration Date

07/31/2008

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011