JOHN POULOS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035067

License Status

INACTIVE

Business

First Name

JOHN

Last Name

POULOS

Suffix

Business Name

JOHN POULOS MD

Original Issue Date

12/31/1957

Effective Date

12/31/1957

Expiration Date

07/31/1987

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/20/2006