BRENT DAVID BEVARD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099294

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

DAVID

Last Name

BEVARD

Suffix

Business Name

BRENT DAVID BEVARD DO

Original Issue Date

11/13/1998

Effective Date

11/13/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

01/15/2015