DAVID JUDSON BEARDSLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

JUDSON

Last Name

BEARDSLEY

Business Name

DAVID JUDSON BEARDSLEY MD

Original Issue Date

12/26/2012

Effective Date

12/26/2012

Expiration Date

07/31/2014

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014