GREGORY S EASTHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076849

License Status

NOT RENEWED

Business

First Name

GREGORY S

Last Name

EASTHAM

Suffix

Business Name

GREGORY S EASTHAM MD

Original Issue Date

03/26/1988

Effective Date

03/26/1988

Expiration Date

07/31/1993

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006