BEVERLY L DECK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

BEVERLY

Middle

Last Name

DECK

Business Name

BEVERLY L DECK

Original Issue Date

02/24/1994

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/27/2023