NICK A VLACHOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

NICK

Middle

Last Name

VLACHOS

Suffix

Business Name

NICK A VLACHOS MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011