STEPHANOS A XYDAKIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

STEPHANOS A

Last Name

XYDAKIS

Suffix

Business Name

STEPHANOS A XYDAKIS MD

Original Issue Date

01/01/1997

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

PALOS HEIGHTS

State

Zip

60465

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017