PHILIP LAWRENCE KOUCHOUKOS 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

First Name

PHILIP LAWRENCE

Last Name

KOUCHOUKOS

Suffix

Business Name

PHILIP LAWRENCE KOUCHOUKOS MD

Original Issue Date

01/01/1997

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023