ANGELOS KOUTSONIKOLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

ANGELOS

Last Name

KOUTSONIKOLIS

Suffix

Business Name

ANGELOS KOUTSONIKOLIS MD

Original Issue Date

07/06/2001

Effective Date

07/06/2001

Expiration Date

07/31/2005

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006