ELIJAH HAMILTON BEATY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

ELIJAH

Middle

HAMILTON

Last Name

BEATY

Suffix

Business Name

ELIJAH HAMILTON BEATY MD

Original Issue Date

06/02/2010

Effective Date

03/22/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014