EDWARD FRANCIS VASTOLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107845

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

FRANCIS

Last Name

VASTOLA

Suffix

Business Name

EDWARD FRANCIS VASTOLA MD

Original Issue Date

09/16/2002

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ST LOUIS

State

Zip

63106

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/14/2011