MILES THOMAS VACHULA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063742

License Status

NOT RENEWED

Business

First Name

MILES THOMAS

Last Name

VACHULA

Suffix

Business Name

MILES THOMAS VACHULA MD

Original Issue Date

01/14/1982

Effective Date

01/14/1982

Expiration Date

07/31/2002

City

OAK PARK

State

Zip

60301

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006

Case Number

1998010873

Action

Probation

Discipline Start Date

06/19/1999

Discipline End Date

06/18/2004

Discipline Reason

Became physically dependent on Hydrocodone, which he self-prescribed. Failed to make and maintain controlled substance dispensing logs.