MATTHEW BLAINE EUBANKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

BLAINE

Last Name

EUBANKS

Business Name

MATTHEW BLAINE EUBANKS MD

Original Issue Date

09/19/2011

Effective Date

09/19/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020