STEPHEN R EATON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

Title

First Name

STEPHEN

Middle

Last Name

EATON

Business Name

STEPHEN R EATON MD

Original Issue Date

01/09/2019

Effective Date

01/09/2019

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021