MICHAEL S BEAUBAIRE - Medical Doctor License in Illinois | # 125032585

MICHAEL S BEAUBAIRE

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032585

License Status

EXPIRED

Business

N

First Name

MICHAEL

Middle

S

Last Name

BEAUBAIRE

Business Name

MICHAEL S BEAUBAIRE

Original Issue Date

05/19/1995

Effective Date

05/19/1995

Expiration Date

06/20/1998

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006