G SCOTT BEAUREGARD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101719

License Status

NOT RENEWED

Business

First Name

G SCOTT

Last Name

BEAUREGARD

Business Name

G SCOTT BEAUREGARD

Original Issue Date

12/16/1999

Effective Date

12/16/1999

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/15/2019