GREGORY S EASTHAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019233

License Status

EXPIRED

Business

First Name

GREGORY S

Last Name

EASTHAM

Suffix

Business Name

GREGORY S EASTHAM MD

Original Issue Date

05/22/1986

Effective Date

05/22/1986

Expiration Date

07/01/1989

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006