DOUGLAS RUDOLPH BEY JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

RUDOLPH

Last Name

BEY

Suffix

Business Name

DOUGLAS RUDOLPH BEY JR

Original Issue Date

01/01/1997

Effective Date

06/04/2021

Expiration Date

07/31/2023

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023