GEORGE NIKITA VAILAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

GEORGE NIKITA

Last Name

VAILAS

Suffix

Business Name

GEORGE NIKITA VAILAS MD

Original Issue Date

12/28/1982

Effective Date

12/28/1982

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020