MICHALIS K PICOLOS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107176

License Status

NOT RENEWED

Business

First Name

MICHALIS

Middle

Last Name

PICOLOS

Business Name

MICHALIS K PICOLOS

Original Issue Date

06/11/2002

Effective Date

06/11/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006