PAUL T KEFALIDES Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

Last Name

KEFALIDES

Business Name

PAUL T KEFALIDES

Original Issue Date

10/20/2000

Effective Date

10/20/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006