EUGENIA KANSAS POULOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039065

License Status

NOT RENEWED

Business

First Name

EUGENIA KANSAS

Last Name

POULOS

Suffix

Business Name

EUGENIA KANSAS POULOS MD

Original Issue Date

05/21/1964

Effective Date

06/05/2014

Expiration Date

07/31/2017

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/01/2017