DAVID DAVENPORT BEAL MD - Medical Doctor License in Illinois | # 036138710

DAVID DAVENPORT BEAL MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138710

License Status

ACTIVE

Business

N

Title

MD

First Name

DAVID

Middle

DAVENPORT

Last Name

BEAL

Business Name

DAVID DAVENPORT BEAL MD

Original Issue Date

07/17/2015

Effective Date

07/22/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

07/22/2023