DAVID DAVENPORT BEAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138710

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

DAVENPORT

Last Name

BEAL

Business Name

DAVID DAVENPORT BEAL MD

Original Issue Date

07/17/2015

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

HUNTLEY

State

Zip

60142

County

COOK

Ever Disciplined

LastModifiedDate

07/22/2023