VITALIJA J VASAITIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

VITALIJA J

Last Name

VASAITIS

Business Name

VITALIJA J VASAITIS

Original Issue Date

01/01/1998

Effective Date

09/06/2012

Expiration Date

09/30/2015

City

BURBANK

State

Zip

60459

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016