THEODORE K KOUTOUZIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038618

License Status

EXPIRED

Business

First Name

THEODORE

Middle

Last Name

KOUTOUZIS

Business Name

THEODORE K KOUTOUZIS

Original Issue Date

06/24/1998

Effective Date

06/24/1998

Expiration Date

06/23/2001

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006