B DANIEL BEAVER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082216

License Status

INACTIVE

Business

First Name

B DANIEL

Last Name

BEAVER

Suffix

Business Name

B DANIEL BEAVER MD

Original Issue Date

03/22/1991

Effective Date

03/22/1991

Expiration Date

07/31/1993

City

PORTLAND

State

Zip

37148

County

TENNESSEE

Ever Disciplined

LastModifiedDate

11/15/2013