WILLIAM WESLEY THEODOROU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

Title

First Name

WILLIAM

Middle

WESLEY

Last Name

THEODOROU

Business Name

WILLIAM WESLEY THEODOROU MD

Original Issue Date

06/20/2012

Effective Date

06/20/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020