NICKOLAS PANAGIOTIS KATSOULAKIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

NICKOLAS

Middle

PANAGIOTIS

Last Name

KATSOULAKIS

Suffix

Business Name

NICKOLAS PANAGIOTIS KATSOULAKIS MD

Original Issue Date

08/06/2009

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023