KOSTANTINOS PANTELIS POULIKIDIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145990

License Status

NOT RENEWED

Business

Title

First Name

KOSTANTINOS

Middle

PANTELIS

Last Name

POULIKIDIS

Business Name

KOSTANTINOS PANTELIS POULIKIDIS MD

Original Issue Date

05/07/2018

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

BELLMORE

State

Zip

11710

Ever Disciplined

LastModifiedDate

11/30/2023