JAMIE LOUISE BEVERSDORF MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

First Name

JAMIE

Middle

LOUISE

Last Name

BEVERSDORF

Suffix

Business Name

JAMIE LOUISE BEVERSDORF MD

Original Issue Date

04/09/2009

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/17/2024