ANDREW G GAIZIUNAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

ANDREW G

Last Name

GAIZIUNAS

Suffix

Business Name

ANDREW G GAIZIUNAS MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/06/2008