DOROTHEA POULOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

First Name

DOROTHEA

Last Name

POULOS

Suffix

Business Name

DOROTHEA POULOS MD

Original Issue Date

04/17/1985

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60120

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023