JAMES ALLAN DIONISOPOULOS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

NOT RENEWED

Business

First Name

JAMES ALLAN

Last Name

DIONISOPOULOS

Business Name

JAMES ALLAN DIONISOPOULOS

Original Issue Date

05/23/2011

Effective Date

03/29/2018

Expiration Date

09/30/2020

City

DEKALB

State

Zip

60115

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021