NICKOLAS JOHN LOGOTHETIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

NICKOLAS

Middle

JOHN

Last Name

LOGOTHETIS

Business Name

NICKOLAS JOHN LOGOTHETIS MD

Original Issue Date

09/01/2021

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023