RICHARD G BEATTY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

BEATTY

Suffix

DDS

Business Name

RICHARD G BEATTY DDS

Original Issue Date

02/27/2006

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009