ANTONIA P KOULIS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

ACTIVE

Business

First Name

ANTONIA P

Last Name

KOULIS

Business Name

ANTONIA P KOULIS

BusinessDBA

KOULIS-ANTONAKO ANTONIA P

Original Issue Date

09/22/1988

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2024