KIRSTEN RAE VITRIKAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

KIRSTEN

Middle

RAE

Last Name

VITRIKAS

Suffix

Business Name

KIRSTEN RAE VITRIKAS MD

Original Issue Date

09/13/2006

Effective Date

05/12/2011

Expiration Date

07/31/2014

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014