RICHARD H BEASLEY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148343

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

Last Name

BEASLEY

Business Name

RICHARD H BEASLEY DO

Original Issue Date

02/15/2019

Effective Date

02/15/2019

Expiration Date

09/30/2020

City

PORTLAND

State

Zip

04103

County

CUMBERLAND

Ever Disciplined

LastModifiedDate

01/14/2021