BETH MICHELLE BEADLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047358

License Status

EXPIRED

Business

First Name

BETH

Middle

MICHELLE

Last Name

BEADLE

Suffix

Business Name

BETH MICHELLE BEADLE MD

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

06/20/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006