COSTAS HARRY KEFALAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000186

License Status

EXPIRED

Business

First Name

COSTAS

Middle

HARRY

Last Name

KEFALAS

Suffix

Business Name

COSTAS HARRY KEFALAS MD

Original Issue Date

12/20/2002

Effective Date

12/20/2002

Expiration Date

09/30/2003

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006