BART D BEAVER Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

First Name

BART D

Last Name

BEAVER

Business Name

BART D BEAVER

Original Issue Date

07/10/1995

Effective Date

11/05/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60655

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025