BEATY LEE BASS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053618

License Status

NOT RENEWED

Business

First Name

BEATY LEE

Last Name

BASS JR

Suffix

Business Name

BEATY LEE BASS JR MD

Original Issue Date

09/17/1976

Effective Date

09/17/1976

City

IOWA CITY

State

Zip

52240

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006