EDDIE LYNN PAULK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

EDDIE

Middle

LYNN

Last Name

PAULK

Business Name

EDDIE LYNN PAULK DO

Original Issue Date

11/21/2023

Effective Date

11/21/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/21/2023