FREDERICK P BEAVERS MD - Medical Doctor License in Illinois | # 125026394

FREDERICK P BEAVERS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026394

License Status

EXPIRED

Business

N

First Name

FREDERICK P

Last Name

BEAVERS

Suffix

MD

Business Name

FREDERICK P BEAVERS MD

Original Issue Date

05/03/1991

Effective Date

05/03/1991

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006