NIKOLAOS MANIATIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

NIKOLAOS

Last Name

MANIATIS

Suffix

Business Name

NIKOLAOS MANIATIS MD

Original Issue Date

08/13/2002

Effective Date

08/13/2002

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008