BEATRICE UTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

First Name

BEATRICE

Last Name

UTA

Suffix

Business Name

BEATRICE UTA MD

Original Issue Date

06/14/2002

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

HOMER GLEN

State

Zip

60491

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023