NICHOLAS S KOUCHIS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

Last Name

KOUCHIS

Business Name

NICHOLAS S KOUCHIS

Original Issue Date

03/02/1995

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023