PELAGIA KOULOUMBERIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

PELAGIA

Last Name

KOULOUMBERIS

Suffix

Business Name

PELAGIA KOULOUMBERIS MD

Original Issue Date

09/02/2009

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017