ERIC PATRICK VRAA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

PATRICK

Last Name

VRAA

Business Name

ERIC PATRICK VRAA

Original Issue Date

11/23/2010

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

CAVE CREEK

State

Zip

85331

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2014