KELDA ANNETTE BEACHY Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000971

License Status

EXPIRED

Business

First Name

KELDA

Middle

ANNETTE

Last Name

BEACHY

Business Name

KELDA ANNETTE BEACHY

Original Issue Date

06/15/2017

Effective Date

07/01/2017

Expiration Date

07/01/2020

City

CHICAGO

State

Zip

60612

Ever Disciplined

LastModifiedDate

11/19/2020