DAVID JOHN VITALE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060633

License Status

ACTIVE

Business

First Name

DAVID JOHN

Last Name

VITALE

Suffix

Business Name

DAVID JOHN VITALE MD

Original Issue Date

07/22/1980

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

GLENCOE

State

Zip

60022

County

COOK

Ever Disciplined

LastModifiedDate

04/13/2023