GABRIELE EILEEN MYKONIATIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

GABRIELE

Middle

EILEEN

Last Name

MYKONIATIS

Suffix

Business Name

GABRIELE EILEEN MYKONIATIS MD

Original Issue Date

02/06/2008

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021