THEODORE K KOUTOUZIS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

First Name

THEODORE

Middle

Last Name

KOUTOUZIS

Business Name

THEODORE K KOUTOUZIS

Original Issue Date

07/05/2000

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

GLENCOE

State

Zip

60022

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023