ATHENA KOSTIDIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

ATHENA

Last Name

KOSTIDIS

Suffix

Business Name

ATHENA KOSTIDIS MD

Original Issue Date

04/14/2005

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

CLARENDON HILLS

State

Zip

60514

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023