EVANGELOS G TAMBASSIS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

EVANGELOS

Middle

Last Name

TAMBASSIS

Business Name

EVANGELOS G TAMBASSIS

Original Issue Date

04/15/2022

Effective Date

06/25/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/25/2023