BART D BEAVER Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004699

License Status

ACTIVE

Business

First Name

BART D

Last Name

BEAVER

Business Name

BART D BEAVER

Original Issue Date

07/09/1994

Effective Date

11/05/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

11/05/2024