GREGORY S EASTHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

GREGORY S

Last Name

EASTHAM

Suffix

Business Name

GREGORY S EASTHAM MD

Original Issue Date

04/28/1989

Effective Date

04/28/1989

Expiration Date

07/31/1993

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006