FREDERICK P BEAVERS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094119

License Status

INACTIVE

Business

First Name

FREDERICK P

Last Name

BEAVERS

Suffix

Business Name

FREDERICK P BEAVERS MD

Original Issue Date

08/28/1996

Effective Date

08/28/1996

Expiration Date

07/31/1999

City

CLEVELAND HEIGHTS

State

Zip

44118

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006