TREVOR REID BEACH DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000748

License Status

EXPIRED

Business

First Name

TREVOR

Middle

REID

Last Name

BEACH

Suffix

DPM

Business Name

TREVOR REID BEACH DPM

Original Issue Date

06/22/2011

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/07/2013