BETH A WADSWORTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127638

License Status

NOT RENEWED

Business

Title

First Name

BETH

Middle

Last Name

WADSWORTH

Business Name

BETH A WADSWORTH MD

Original Issue Date

04/20/2011

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014