FRED RICHARDSON JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

First Name

FRED

Last Name

RICHARDSON JR

Suffix

Business Name

FRED RICHARDSON JR MD

Original Issue Date

12/08/1988

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023