JAMES BEAUREGARD MADISON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

JAMES BEAUREGARD

Last Name

MADISON

Suffix

Business Name

JAMES BEAUREGARD MADISON MD

Original Issue Date

06/16/1982

Effective Date

06/30/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020