PHILIP A VLASTARIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038765

License Status

NOT RENEWED

Business

First Name

PHILIP A

Last Name

VLASTARIS

Suffix

Business Name

PHILIP A VLASTARIS MD

Original Issue Date

11/26/1963

Effective Date

11/26/1963

City

CLEVELAND

State

Zip

44126

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006