ANDREW STEPHEN BOUTSICARIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167216

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

STEPHEN

Last Name

BOUTSICARIS

Business Name

ANDREW STEPHEN BOUTSICARIS MD

Original Issue Date

09/28/2023

Effective Date

09/28/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/28/2023