GAINES EDWARD RICHARDSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

GAINES

Middle

EDWARD

Last Name

RICHARDSON

Suffix

Business Name

GAINES EDWARD RICHARDSON MD

Original Issue Date

05/22/2000

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023