DAVID MARK BEATTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112014

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

MARK

Last Name

BEATTY

Business Name

DAVID MARK BEATTY MD

Original Issue Date

08/03/2004

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/07/2023