PAUL THOMAS VAITKUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

THOMAS

Last Name

VAITKUS

Suffix

Business Name

PAUL THOMAS VAITKUS MD

Original Issue Date

08/24/1998

Effective Date

07/23/2014

Expiration Date

07/31/2017

City

SOUTH PASADENA

State

Zip

33707

County

FLORIDA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020