GEORGE THEOPH POULOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040063

License Status

NOT RENEWED

Business

First Name

GEORGE THEOPH

Last Name

POULOS

Suffix

Business Name

GEORGE THEOPH POULOS MD

Original Issue Date

08/31/1965

Effective Date

07/17/2014

Expiration Date

07/31/2017

City

OAKLAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017