RICHARD W LORD JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

RICHARD W

Last Name

LORD JR

Suffix

Business Name

RICHARD W LORD JR MD

Original Issue Date

08/13/1990

Effective Date

08/13/1990

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006