THANASIS CHRISTOS BAVELIS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044192

License Status

CANCELLED

Business

First Name

THANASIS

Middle

CHRISTOS

Last Name

BAVELIS

Suffix

Business Name

THANASIS CHRISTOS BAVELIS DO

Original Issue Date

06/22/2002

Effective Date

06/22/2002

Expiration Date

06/30/2007

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006