CONSTANTINE DEAN KATSAMAKIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107954

License Status

ACTIVE

Business

First Name

CONSTANTINE

Middle

DEAN

Last Name

KATSAMAKIS

Suffix

Business Name

CONSTANTINE DEAN KATSAMAKIS DO

Original Issue Date

10/03/2002

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

04/06/2023