Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****41

NOT RENEWED

N

TERRANCE ANTHONY

VAISVILAS

MD

TERRANCE ANTHONY VAISVILAS MD

05/06/1994

05/15/2020

07/31/2023

OLYMPIA FIELDS

IL

60461

KANKAKEE

II III IV V

N

11/30/2023