LAZAROS ANDREAS NIKOLAIDIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

Title

First Name

LAZAROS

Middle

ANDREAS

Last Name

NIKOLAIDIS

Business Name

LAZAROS ANDREAS NIKOLAIDIS MD

Original Issue Date

08/26/2014

Effective Date

07/18/2017

Expiration Date

09/30/2020

City

SALADO

State

Zip

76571

County

TEXAS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021