THANASIS CHRISTOS BAVELIS DO 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

THANASIS

Middle

CHRISTOS

Last Name

BAVELIS

Suffix

Business Name

THANASIS CHRISTOS BAVELIS DO

Original Issue Date

05/21/2007

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/23/2023