SAMUEL EASELY WEBSTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053837

License Status

NOT RENEWED

Business

First Name

SAMUEL EASELY

Last Name

WEBSTER

Suffix

Business Name

SAMUEL EASELY WEBSTER MD

Original Issue Date

11/19/1976

Effective Date

11/19/1976

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006