FREDERICK P BEAVERS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026394

License Status

EXPIRED

Business

First Name

FREDERICK P

Last Name

BEAVERS

Suffix

Business Name

FREDERICK P BEAVERS MD

Original Issue Date

05/03/1991

Effective Date

05/03/1991

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006