CONSTANTINE A KOTSANIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

CONSTANTINE

Middle

Last Name

KOTSANIS

Suffix

Business Name

CONSTANTINE A KOTSANIS MD

Original Issue Date

07/08/1981

Effective Date

07/08/1981

Expiration Date

07/31/1984

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020