ILIAS ATHANASIADIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027597

License Status

EXPIRED

Business

First Name

ILIAS

Last Name

ATHANASIADIS

Business Name

ILIAS ATHANASIADIS

Original Issue Date

12/05/1991

Effective Date

12/05/1991

Expiration Date

07/01/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Oncology

Ever Disciplined

LastModifiedDate

09/22/2006