DAVID DAVENPORT BEAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

DAVENPORT

Last Name

BEAL

Business Name

DAVID DAVENPORT BEAL MD

Original Issue Date

07/17/2015

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

HUNTLEY

State

Zip

60142

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023