ANDREW FRANK POULOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161439

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

FRANK

Last Name

POULOS

Business Name

ANDREW FRANK POULOS MD

Original Issue Date

07/14/2022

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

IRON MOUNTAIN

State

Zip

49801

Ever Disciplined

LastModifiedDate

07/01/2023