GORDON LARAWAY RICHARDS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****30

NOT RENEWED

N

GORDON LARAWAY

RICHARDS

MD

GORDON LARAWAY RICHARDS MD

01/01/1997

07/31/1984

WILMINGTON

IL

60481

GRUNDY

II III IV V

Y

03/24/2007

1982000015

Suspension

04/27/1984