NIKOLAOS KOUTSONIKOLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

NIKOLAOS

Last Name

KOUTSONIKOLIS

Suffix

Business Name

NIKOLAOS KOUTSONIKOLIS MD

Original Issue Date

03/03/2011

Effective Date

06/20/2011

Expiration Date

07/31/2014

City

GALENA

State

Zip

61036

County

JO DAVIESS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020