NWANNEKA ANNEKA RICHARDSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

NWANNEKA

Middle

ANNEKA

Last Name

RICHARDSON

Business Name

NWANNEKA ANNEKA RICHARDSON

Original Issue Date

07/20/2000

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

CALUMET CITY

State

Zip

60409

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2025