KENNETH L RICHMOND MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

First Name

KENNETH L

Last Name

RICHMOND

Suffix

Business Name

KENNETH L RICHMOND MD

Original Issue Date

09/04/1981

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023