MICHAEL EDWARD BEATTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

MICHAEL EDWARD

Last Name

BEATTY

Suffix

Business Name

MICHAEL EDWARD BEATTY MD

Original Issue Date

01/01/1997

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023