NATHANIEL THEODORE KOUTLAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169038

License Status

ACTIVE

Business

Title

First Name

NATHANIEL

Middle

THEODORE

Last Name

KOUTLAS

Business Name

NATHANIEL THEODORE KOUTLAS MD

Original Issue Date

02/29/2024

Effective Date

02/29/2024

Expiration Date

07/31/2026

City

CHAPEL HILL

State

Zip

27599

Ever Disciplined

LastModifiedDate

01/11/2024