ERIC ALLEN BUNTING Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

ACTIVE

Business

First Name

ERIC

Middle

ALLEN

Last Name

BUNTING

Business Name

ERIC ALLEN BUNTING

Original Issue Date

07/13/2012

Effective Date

12/17/2023

Expiration Date

03/01/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025