VICTORIA A VITALE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068626

License Status

NOT RENEWED

Business

First Name

VICTORIA A

Last Name

VITALE

Suffix

Business Name

VICTORIA A VITALE MD

Original Issue Date

05/03/1984

Effective Date

05/03/1984

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63109

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006