GEORGE THEODORE KOLETTIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

GEORGE THEODORE

Last Name

KOLETTIS

Suffix

Business Name

GEORGE THEODORE KOLETTIS MD

Original Issue Date

04/23/1993

Effective Date

04/23/1993

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006