MARC A KOUYOUMDJIAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

CANCELLED

Business

First Name

MARC

Middle

Last Name

KOUYOUMDJIAN

Suffix

Business Name

MARC A KOUYOUMDJIAN MD

Original Issue Date

07/20/1994

Effective Date

07/20/1994

Expiration Date

07/31/2002

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006