TIMOTHY M BEATY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

First Name

TIMOTHY M

Last Name

BEATY

Business Name

TIMOTHY M BEATY

Original Issue Date

03/21/1997

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

BREESE

State

Zip

62230

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023