CHRISTINE M POULOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

CHRISTINE M

Last Name

POULOS

Suffix

Business Name

CHRISTINE M POULOS MD

Original Issue Date

05/22/1995

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023