DEREK BEATTY DO - Medical Doctor License in Illinois | # 125070071

DEREK BEATTY DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070071

License Status

CANCELLED

Business

N

Title

DO

First Name

DEREK

Last Name

BEATTY

Business Name

DEREK BEATTY DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

03/20/2020