KEN RENARD RICHARDS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

KEN

Middle

RENARD

Last Name

RICHARDS

Suffix

Business Name

KEN RENARD RICHARDS MD

Original Issue Date

11/10/2005

Effective Date

08/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/10/2023