BERNARD EARL EAGLETON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

First Name

BERNARD

Middle

EARL

Last Name

EAGLETON

Suffix

Business Name

BERNARD EARL EAGLETON MD

Original Issue Date

12/11/2017

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

BATON ROUGE

State

Zip

70808

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023