BRIAN J BEACH Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000342

License Status

EXPIRED

Business

First Name

BRIAN

Middle

Last Name

BEACH

Business Name

BRIAN J BEACH

Original Issue Date

06/26/1997

Effective Date

06/26/1997

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006