PAUL ANTHONY VAKSELIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

PAUL ANTHONY

Last Name

VAKSELIS

Suffix

Business Name

PAUL ANTHONY VAKSELIS MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006