JASON ERIC BECKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

JASON

Middle

ERIC

Last Name

BECKER

Suffix

Business Name

JASON ERIC BECKER MD

Original Issue Date

07/24/2007

Effective Date

09/13/2010

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020