GARY RICHARD BEASLEY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059355

License Status

NOT RENEWED

Business

First Name

GARY RICHARD

Last Name

BEASLEY

Suffix

Business Name

GARY RICHARD BEASLEY DO

Original Issue Date

09/18/1979

Effective Date

09/18/1979

Expiration Date

07/31/1990

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

09/20/2006