PETER G POULOS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002420

License Status

NOT RENEWED

Business

First Name

PETER G

Last Name

POULOS

Business Name

PETER G POULOS

Original Issue Date

07/27/1961

Effective Date

07/27/1961

Expiration Date

01/31/1997

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006