PRESTON P RICHMOND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

PRESTON P

Last Name

RICHMOND

Suffix

Business Name

PRESTON P RICHMOND MD

Original Issue Date

07/22/1986

Effective Date

07/22/1986

Expiration Date

07/31/1987

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006