NICHOLAS STEPHEN VITALE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036024723

License Status

NOT RENEWED

Business

First Name

NICHOLAS STEPHEN

Last Name

VITALE

Suffix

Business Name

NICHOLAS STEPHEN VITALE MD

Original Issue Date

11/25/1941

Effective Date

11/25/1941

Expiration Date

07/31/1987

City

ST. LOUIS

State

Zip

63121

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006