TANYA REEVES-RICHARDSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

TANYA

Last Name

REEVES-RICHARDSON

Business Name

TANYA REEVES-RICHARDSON

Original Issue Date

01/20/2005

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

SANDWICH

State

Zip

60548

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023