Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****08

NOT RENEWED

N

MD

ALPHONSE

BEAUBOEUF

ALPHONSE BEAUBOEUF MD

09/25/1991

04/17/2008

07/31/2011

EAST SAINT LOUIS

IL

62201

SAINT CLAIR

II III IV V

N

11/10/2011