THOMAS JOSEPH VITALE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

JOSEPH

Last Name

VITALE

Suffix

Business Name

THOMAS JOSEPH VITALE MD

Original Issue Date

08/14/1998

Effective Date

08/14/1998

Expiration Date

07/31/2008

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008