ZISSIS VESOULIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

Title

First Name

ZISSIS

Last Name

VESOULIS

Business Name

ZISSIS VESOULIS MD

Original Issue Date

09/14/2007

Effective Date

07/27/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

04/11/2017