SHAD D BEATY MD - Medical Doctor License in Illinois | # 125039118

SHAD D BEATY MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039118

License Status

EXPIRED

Business

N

First Name

SHAD

Middle

D

Last Name

BEATY

Suffix

MD

Business Name

SHAD D BEATY MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006