MILES THOMAS VACHULA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

MILES THOMAS

Last Name

VACHULA

Suffix

Business Name

MILES THOMAS VACHULA MD

Original Issue Date

03/03/1982

Effective Date

03/03/1982

Expiration Date

07/31/1999

City

OAK PARK

State

Zip

60301

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/26/2007

Case Number

1998010873

Action

Suspension

Discipline Start Date

06/19/1999

Discipline Reason

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