LISA KIMBERLY RICHARDSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

LISA

Middle

KIMBERLY

Last Name

RICHARDSON

Suffix

Business Name

LISA KIMBERLY RICHARDSON MD

Original Issue Date

07/11/2007

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

EAST CHICAGO

State

Zip

46312

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023