TERRANCE ANTHONY VAISVILAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088183

License Status

NOT RENEWED

Business

First Name

TERRANCE ANTHONY

Last Name

VAISVILAS

Suffix

Business Name

TERRANCE ANTHONY VAISVILAS MD

Original Issue Date

03/28/1994

Effective Date

05/15/2020

Expiration Date

07/31/2023

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023