MARY S RICHARDSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

MARY S

Last Name

RICHARDSON

Suffix

Business Name

MARY S RICHARDSON MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

ANNA

State

Zip

62906

County

UNION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006