JAMES SAM POULOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042597

License Status

ACTIVE

Business

First Name

JAMES SAM

Last Name

POULOS

Suffix

Business Name

JAMES SAM POULOS MD

Original Issue Date

07/01/1969

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2023