NICHOLAS S KOUCHIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028843

License Status

EXPIRED

Business

First Name

NICHOLAS

Middle

Last Name

KOUCHIS

Business Name

NICHOLAS S KOUCHIS

Original Issue Date

06/23/1992

Effective Date

06/23/1992

Expiration Date

06/21/1995

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006