KEVIN P THEODOROU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

THEODOROU

Suffix

Business Name

KEVIN P THEODOROU MD

Original Issue Date

06/03/1998

Effective Date

06/03/1998

Expiration Date

07/31/2002

City

OAK PARK

State

Zip

60301

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006