LISA KIMBERLY RICHARDSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117734

License Status

ACTIVE

Business

First Name

LISA

Middle

KIMBERLY

Last Name

RICHARDSON

Suffix

Business Name

LISA KIMBERLY RICHARDSON MD

Original Issue Date

02/28/2007

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

EAST CHICAGO

State

Zip

46312

County

COOK

Ever Disciplined

LastModifiedDate

04/09/2023