SYDNEY MARY GOUNTOUNAS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

ACTIVE

Business

First Name

SYDNEY

Middle

MARY

Last Name

GOUNTOUNAS

Business Name

SYDNEY MARY GOUNTOUNAS

Original Issue Date

07/12/2022

Effective Date

02/06/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60628

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/06/2026