THEODOTE K PONTIKES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134236

License Status

ACTIVE

Business

Title

First Name

THEODOTE

Middle

Last Name

PONTIKES

Business Name

THEODOTE K PONTIKES MD

Original Issue Date

11/26/2013

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2023