EMMANUEL K KONSTANTAKOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130168

License Status

NOT RENEWED

Business

Title

First Name

EMMANUEL

Middle

Last Name

KONSTANTAKOS

Business Name

EMMANUEL K KONSTANTAKOS MD

Original Issue Date

04/20/2012

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61103

County

OHIO

Ever Disciplined

LastModifiedDate

01/14/2021