THOMAS R BEIDLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022682

License Status

EXPIRED

Business

First Name

THOMAS R

Last Name

BEIDLE

Suffix

Business Name

THOMAS R BEIDLE MD

Original Issue Date

06/06/1988

Effective Date

06/06/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006