ATHANASIOS T SKOUTELIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021571

License Status

EXPIRED

Business

First Name

ATHANASIOS

Middle

Last Name

SKOUTELIS

Business Name

ATHANASIOS T SKOUTELIS

Original Issue Date

07/08/1987

Effective Date

07/08/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006