GEORGE ANESTIS FOTOPOULOS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

ACTIVE

Business

First Name

GEORGE

Middle

ANESTIS

Last Name

FOTOPOULOS

Business Name

GEORGE ANESTIS FOTOPOULOS

Original Issue Date

05/15/2025

Effective Date

05/15/2025

Expiration Date

05/31/2026

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026