ANDREW N BEAGLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

ANDREW N

Last Name

BEAGLE

Suffix

Business Name

ANDREW N BEAGLE MD

Original Issue Date

07/22/1985

Effective Date

07/22/1985

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006