ANDREW FRANK POULOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

FRANK

Last Name

POULOS

Business Name

ANDREW FRANK POULOS MD

Original Issue Date

08/10/2022

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023