STAVROS N MALTEZOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

STAVROS N

Last Name

MALTEZOS

Suffix

Business Name

STAVROS N MALTEZOS MD

Original Issue Date

04/19/1983

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60605

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021