MICHAEL DEMETRIOS KOUIMELIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

DEMETRIOS

Last Name

KOUIMELIS

Business Name

MICHAEL DEMETRIOS KOUIMELIS MD

Original Issue Date

03/07/2017

Effective Date

05/23/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021