ATHENA STOUPIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024271

License Status

EXPIRED

Business

First Name

ATHENA

Last Name

STOUPIS

Business Name

ATHENA STOUPIS

Original Issue Date

06/28/1989

Effective Date

06/28/1989

Expiration Date

03/01/1994

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006