MORTIMER DEVINE BECK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039605

License Status

INACTIVE

Business

First Name

MORTIMER DEVINE

Last Name

BECK

Suffix

Business Name

MORTIMER DEVINE BECK MD

Original Issue Date

05/25/1965

Effective Date

05/25/1965

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006