Medical Doctor
LICENSED PHYSICIAN AND SURGEON
036087476
ACTIVE
N
BEVERLY
L
DECK
BEVERLY L DECK
09/27/1993
05/27/2023
07/31/2026
OAK PARK
IL
60302
COOK
Y
05/27/2023
2015008737
Suspension
12/18/2015
01/05/2016
Failure to file and/or pay Illinois state income taxes.