GEORGE JOHN KOULLIAS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119605

License Status

INACTIVE

Business

First Name

GEORGE

Middle

JOHN

Last Name

KOULLIAS

Suffix

Business Name

GEORGE JOHN KOULLIAS MD

Original Issue Date

10/26/2007

Effective Date

06/27/2011

Expiration Date

07/31/2014

City

CORAM

State

Zip

11727

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/08/2014