TIMOTHY M BEATY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

TIMOTHY M

Last Name

BEATY

Business Name

TIMOTHY M BEATY

Original Issue Date

01/28/1998

Effective Date

01/28/1998

Expiration Date

07/31/2005

City

NEW BADEN

State

Zip

62265

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020