GREGORY DAVID RICHARDSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

GREGORY

Middle

DAVID

Last Name

RICHARDSON

Business Name

GREGORY DAVID RICHARDSON MD

Original Issue Date

08/04/2015

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023