TERRY RICHARD LIGHT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

TERRY

Middle

RICHARD

Last Name

LIGHT

Suffix

Business Name

TERRY RICHARD LIGHT MD

Original Issue Date

01/01/1997

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023