BRYAN ALEXANDER RICHARDSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

BRYAN

Middle

ALEXANDER

Last Name

RICHARDSON

Suffix

Business Name

BRYAN ALEXANDER RICHARDSON MD

Original Issue Date

08/21/1998

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023