EUSTATHIA J PANOUSHIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

EUSTATHIA

Middle

Last Name

PANOUSHIS

Suffix

Business Name

EUSTATHIA J PANOUSHIS MD

Original Issue Date

11/09/1998

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023