AUDREY H GEANNOPOULOS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022760

License Status

EXPIRED

Business

First Name

AUDREY

Middle

Last Name

GEANNOPOULOS

Suffix

Business Name

AUDREY H GEANNOPOULOS MD

Original Issue Date

06/14/1988

Effective Date

06/14/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006