LANIE EARL EAGLETON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052906

License Status

ACTIVE

Business

First Name

LANIE EARL

Last Name

EAGLETON

Suffix

Business Name

LANIE EARL EAGLETON MD

Original Issue Date

07/15/1976

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/13/2023