Augustin V Vitualla Jr Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036056239

Status

Inactive

First issued

December 16, 1977

Expired

July 31, 1987

License holder

Augustin V Vitualla Jr Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

12/16/1977

Other Illinois licenses under this name

• IL
  Augustin V Vitualla Jr Md

  License 33*****47

  Licensed Physician Controlled Substance (Medical Board)
  Expired

  Chicago, IL

  Expired Jul 31, 1987

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