DAVID JUDSON BEARDSLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131874

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

JUDSON

Last Name

BEARDSLEY

Business Name

DAVID JUDSON BEARDSLEY MD

Original Issue Date

12/26/2012

Effective Date

12/26/2012

Expiration Date

07/31/2014

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

11/17/2014