PHILIP LAWRENCE KOUCHOUKOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050376

License Status

ACTIVE

Business

First Name

PHILIP LAWRENCE

Last Name

KOUCHOUKOS

Suffix

Business Name

PHILIP LAWRENCE KOUCHOUKOS MD

Original Issue Date

11/26/1974

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

05/24/2023