TYLER DAVID BEERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

NOT RENEWED

Business

First Name

TYLER

Middle

DAVID

Last Name

BEERS

Business Name

TYLER DAVID BEERS

Original Issue Date

02/21/2018

Effective Date

01/30/2020

Expiration Date

03/01/2022

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022