KEITH A BEAUCHAMP Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****81

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

01/14/2023

Expiration Date

01/31/2025

City

SHERMAN

State

Zip

62684

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026