NICOLE MARIE THEODOROPOULOS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

INACTIVE

Business

First Name

NICOLE

Middle

MARIE

Last Name

THEODOROPOULOS

Suffix

Business Name

NICOLE MARIE THEODOROPOULOS MD

Original Issue Date

05/06/2009

Effective Date

07/14/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014