JONAS VYTAS GRYBINAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

JONAS

Middle

VYTAS

Last Name

GRYBINAS

Suffix

Business Name

JONAS VYTAS GRYBINAS MD

Original Issue Date

10/20/2000

Effective Date

10/20/2000

Expiration Date

07/31/2002

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006