SHAD D BEATY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106215

License Status

ACTIVE

Business

First Name

SHAD

Middle

Last Name

BEATY

Suffix

Business Name

SHAD D BEATY MD

Original Issue Date

02/05/2002

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/11/2023