DANA MARIE VLACHOS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064658

License Status

CANCELLED

Business

First Name

DANA

Middle

MARIE

Last Name

VLACHOS

Suffix

Business Name

DANA MARIE VLACHOS DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/21/2014