DOUGLAS C BEATTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088086

License Status

NOT RENEWED

Business

First Name

DOUGLAS C

Last Name

BEATTY

Suffix

Business Name

DOUGLAS C BEATTY MD

Original Issue Date

03/07/1994

Effective Date

03/07/1994

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006