THOMAS JOSEPH VITALE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097734

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

JOSEPH

Last Name

VITALE

Suffix

Business Name

THOMAS JOSEPH VITALE MD

Original Issue Date

04/27/1998

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ST LOUIS

State

Zip

63117

Ever Disciplined

LastModifiedDate

11/06/2008