PAUL T KEFALIDES Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097555

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

Last Name

KEFALIDES

Business Name

PAUL T KEFALIDES

Original Issue Date

03/31/1998

Effective Date

03/31/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006