DANNISE BECKLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

DANNISE

Last Name

BECKLEY

Suffix

Business Name

DANNISE BECKLEY MD

Original Issue Date

12/10/1990

Effective Date

12/10/1990

Expiration Date

07/31/1993

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006