BRIAN J BEACH - Podiatrist License in Illinois | # 135000342

BRIAN J BEACH

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000342

License Status

EXPIRED

Business

N

First Name

BRIAN

Middle

J

Last Name

BEACH

Business Name

BRIAN J BEACH

Original Issue Date

06/26/1997

Effective Date

06/26/1997

Expiration Date

06/30/1999

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006