FREDERICK P BEAVERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

FREDERICK P

Last Name

BEAVERS

Suffix

Business Name

FREDERICK P BEAVERS MD

Original Issue Date

01/28/1998

Effective Date

01/28/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006