MICHAEL DEMETRIOS KOUIMELIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

DEMETRIOS

Last Name

KOUIMELIS

Business Name

MICHAEL DEMETRIOS KOUIMELIS MD

Original Issue Date

08/21/2008

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023