VIDAS GRAZVYDAS DUMASIUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

VIDAS

Middle

GRAZVYDAS

Last Name

DUMASIUS

Suffix

Business Name

VIDAS GRAZVYDAS DUMASIUS MD

Original Issue Date

10/21/2008

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017