BERNARD EARL EAGLETON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029298

License Status

EXPIRED

Business

First Name

BERNARD

Middle

EARL

Last Name

EAGLETON

Suffix

Business Name

BERNARD EARL EAGLETON MD

Original Issue Date

04/26/1993

Effective Date

04/26/1993

Expiration Date

06/25/1996

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006