JAMES W BEANE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

JAMES W

Last Name

BEANE

Suffix

DDS

Business Name

JAMES W BEANE DDS

Original Issue Date

03/03/1989

Effective Date

03/03/1989

Expiration Date

09/30/1996

City

PEORIA

State

Zip

61605

County

PEORIA

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005