MARK ANTHONY VULETICH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ANTHONY

Last Name

VULETICH

Suffix

Business Name

MARK ANTHONY VULETICH DO

Original Issue Date

08/16/1999

Effective Date

01/29/2018

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021