JAMES N POULOS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

JAMES N

Last Name

POULOS

Business Name

JAMES N POULOS

Original Issue Date

09/12/1986

Effective Date

08/31/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60644

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018