BRIAN K BEVACQUA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072126

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

BEVACQUA

Suffix

Business Name

BRIAN K BEVACQUA MD

Original Issue Date

12/12/1985

Effective Date

12/12/1985

Expiration Date

07/31/1987

City

MADISON

State

Zip

53705

Ever Disciplined

LastModifiedDate

10/23/2007

Case Number

1991004448

Action

Suspension

Discipline Start Date

08/24/1992

Discipline Reason

Failed to respond to Department complaints.