EDDIE LYNN PAULK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

Title

First Name

EDDIE

Middle

LYNN

Last Name

PAULK

Business Name

EDDIE LYNN PAULK DO

Original Issue Date

09/12/2024

Effective Date

09/12/2024

Expiration Date

07/31/2026

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2024