LANIE EARL EAGLETON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

LANIE EARL

Last Name

EAGLETON

Suffix

Business Name

LANIE EARL EAGLETON MD

Original Issue Date

01/01/1997

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023