MARA GRACE BEVERIDGE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059361

License Status

CANCELLED

Business

Title

First Name

MARA

Middle

GRACE

Last Name

BEVERIDGE

Business Name

MARA GRACE BEVERIDGE MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CLEVELAND

State

Zip

44106

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

02/24/2015