KATHERINE FACKLIS KOUVELIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

First Name

KATHERINE

Middle

FACKLIS

Last Name

KOUVELIS

Suffix

Business Name

KATHERINE FACKLIS KOUVELIS MD

Original Issue Date

08/14/2007

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023