THEODOTE K PONTIKES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049739

License Status

EXPIRED

Business

Title

First Name

THEODOTE

Middle

Last Name

PONTIKES

Business Name

THEODOTE K PONTIKES MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

07/15/2009