DOUGLAS CLARE RICHARDS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

CLARE

Last Name

RICHARDS

Suffix

Business Name

DOUGLAS CLARE RICHARDS DO

Original Issue Date

07/19/2016

Effective Date

07/19/2016

Expiration Date

07/31/2017

City

DU QUOIN

State

Zip

62832

County

PERRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017