ANDREW G GAIZIUNAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042881

License Status

NOT RENEWED

Business

First Name

ANDREW G

Last Name

GAIZIUNAS

Suffix

Business Name

ANDREW G GAIZIUNAS MD

Original Issue Date

09/16/1969

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/06/2008