THEODORA VAMVOURIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

THEODORA

Last Name

VAMVOURIS

Business Name

THEODORA VAMVOURIS MD

Original Issue Date

06/28/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

NEW HAVEN

State

Zip

06510

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023