THEODOTE K PONTIKES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

THEODOTE

Middle

Last Name

PONTIKES

Business Name

THEODOTE K PONTIKES MD

Original Issue Date

11/26/2013

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60634

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2023