STATHIS J POULAKIDAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099012

License Status

ACTIVE

Business

First Name

STATHIS

Middle

Last Name

POULAKIDAS

Suffix

Business Name

STATHIS J POULAKIDAS MD

Original Issue Date

09/08/1998

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

04/06/2023