WILLARD EASTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

WILLARD

Last Name

EASTON

Suffix

Business Name

WILLARD EASTON MD

Original Issue Date

01/01/1997

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014