JAMES BEAUREGARD MADISON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064204

License Status

ACTIVE

Business

First Name

JAMES BEAUREGARD

Last Name

MADISON

Suffix

Business Name

JAMES BEAUREGARD MADISON MD

Original Issue Date

04/29/1982

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2023