DIMITRIOS T MOUGOLIAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

First Name

DIMITRIOS

Middle

Last Name

MOUGOLIAS

Suffix

Business Name

DIMITRIOS T MOUGOLIAS MD

Original Issue Date

04/24/2007

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023