BOZENA G THEODOROPOULOS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034517

License Status

EXPIRED

Business

First Name

BOZENA

Middle

Last Name

THEODOROPOULOS

Business Name

BOZENA G THEODOROPOULOS

Original Issue Date

05/20/1996

Effective Date

05/20/1996

Expiration Date

06/20/1999

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006