NICK A VLACHOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058143

License Status

NOT RENEWED

Business

First Name

NICK

Middle

Last Name

VLACHOS

Suffix

Business Name

NICK A VLACHOS MD

Original Issue Date

11/20/1978

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

1997005136

Action

Probation

Discipline Start Date

08/06/1998

Discipline End Date

08/05/2000

Discipline Reason

Engaged in unprofessional conduct by entering into a personal relationship with a patient.