KEITH A BEAUCHAMP Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005899

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

BEAUCHAMP

Business Name

KEITH A BEAUCHAMP

Original Issue Date

07/13/2020

Effective Date

12/23/2022

Expiration Date

02/28/2025

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/21/2026