JUNE ELLEN BEATY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000095

License Status

NOT RENEWED

Business

First Name

JUNE ELLEN

Last Name

BEATY

Business Name

JUNE ELLEN BEATY

Original Issue Date

01/25/1981

Effective Date

01/25/1981

Expiration Date

01/25/1983

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/26/2006