ELEATHA L SURRATT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

First Name

ELEATHA

Middle

Last Name

SURRATT

Suffix

Business Name

ELEATHA L SURRATT MD

Original Issue Date

05/27/1999

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023