THEODOROS F KATSIVAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039968

License Status

EXPIRED

Business

First Name

THEODOROS

Middle

Last Name

KATSIVAS

Suffix

Business Name

THEODOROS F KATSIVAS MD

Original Issue Date

06/25/1999

Effective Date

06/25/1999

Expiration Date

06/24/2002

City

CHICAGO

State

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006