RICHARD G BEATTY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002126

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

BEATTY

Suffix

DDS

Business Name

RICHARD G BEATTY DDS

Original Issue Date

12/06/2004

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

ENDODONTICS

Ever Disciplined

LastModifiedDate

05/09/2022