HEATHER N BEAL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043971

License Status

EXPIRED

Business

First Name

HEATHER

Middle

Last Name

BEAL

Business Name

HEATHER N BEAL

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2006

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006