LOUIS G POULOS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030115

License Status

EXPIRED

Business

First Name

LOUIS G

Last Name

POULOS

Suffix

Business Name

LOUIS G POULOS DO

Original Issue Date

06/04/1993

Effective Date

06/04/1993

Expiration Date

06/20/1996

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006