ELENA NIKOU THEODOSIOU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

CANCELLED

Business

First Name

ELENA

Middle

NIKOU

Last Name

THEODOSIOU

Suffix

Business Name

ELENA NIKOU THEODOSIOU MD

Original Issue Date

08/20/2001

Effective Date

08/20/2001

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006