BEAUVOIR H EDMOND MD Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003783

License Status

NOT RENEWED

Business

Business Name

BEAUVOIR H EDMOND MD

Original Issue Date

09/27/1979

Effective Date

09/27/1979

Expiration Date

01/01/1986

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

09/26/2006