ANTHONY JOHN VITA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111078

License Status

ACTIVE

Business

First Name

ANTHONY

Middle

JOHN

Last Name

VITA

Suffix

Business Name

ANTHONY JOHN VITA MD

Original Issue Date

03/23/2004

Effective Date

02/07/2025

Expiration Date

07/31/2026

City

EDGEWOOD

State

Zip

41017

Ever Disciplined

LastModifiedDate

02/07/2025