KEVIN ANDREW RICHARDSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

ANDREW

Last Name

RICHARDSON

Business Name

KEVIN ANDREW RICHARDSON MD

Original Issue Date

06/04/2010

Effective Date

05/02/2014

Expiration Date

07/31/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017