KENNETH DAVID BECKMAN MD 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

KENNETH DAVID

Last Name

BECKMAN

Suffix

Business Name

KENNETH DAVID BECKMAN MD

Original Issue Date

01/01/1997

Effective Date

06/24/2008

Expiration Date

07/31/2011

City

GLENCOE

State

Zip

60022

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011