JOHN G BARABOUTIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

BARABOUTIS

Suffix

Business Name

JOHN G BARABOUTIS MD

Original Issue Date

06/05/2000

Effective Date

06/05/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006