ZISSIS VESOULIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119137

License Status

NOT RENEWED

Business

Title

First Name

ZISSIS

Last Name

VESOULIS

Business Name

ZISSIS VESOULIS MD

Original Issue Date

08/03/2007

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017