WILLIAM RICHARD DEAGLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

RICHARD

Last Name

DEAGLE

Suffix

Business Name

WILLIAM RICHARD DEAGLE MD

Original Issue Date

09/11/1996

Effective Date

09/11/1996

Expiration Date

07/31/1999

City

PEKIN

State

Zip

61554

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006