JOHN MARCELLUS BEATTY DDS Dentist License verification

JOHN MARCELLUS BEATTY DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012662

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

MARCELLUS

Last Name

BEATTY

Suffix

DDS

Business Name

JOHN MARCELLUS BEATTY DDS

Original Issue Date

07/15/1965

Effective Date

05/09/2013

Expiration Date

09/30/2015

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

02/08/2016

Case Number

2011006558

Action

Suspension

Discipline Start Date

02/14/2012

Discipline End Date

03/28/2012

Discipline Reason

For failure to pay Illinois income tax. Tax deficiency release notice received from IDOR on 03/12/2012. Order to terminate prepared and signed by Director on 03/28/2012.