HERCULES DEMETRIOS LOGOTHETIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

HERCULES

Middle

DEMETRIOS

Last Name

LOGOTHETIS

Business Name

HERCULES DEMETRIOS LOGOTHETIS MD

Original Issue Date

07/08/2019

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023