GEORGE THEOPH POULOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

GEORGE THEOPH

Last Name

POULOS

Suffix

Business Name

GEORGE THEOPH POULOS MD

Original Issue Date

01/01/1997

Effective Date

07/17/2014

Expiration Date

07/31/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017