CHRISTINA ELENI BOUTSICARIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

Title

First Name

CHRISTINA

Middle

ELENI

Last Name

BOUTSICARIS

Business Name

CHRISTINA ELENI BOUTSICARIS MD

Original Issue Date

07/21/2017

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023