ANDREAS G HATZIVASILIADIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

ANDREAS G

Last Name

HATZIVASILIADIS

Suffix

Business Name

ANDREAS G HATZIVASILIADIS MD

Original Issue Date

08/19/1985

Effective Date

08/19/1985

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60639

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006