DIMITRIOS I FANOPOULOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093988

License Status

ACTIVE

Business

Title

First Name

DIMITRIOS

Middle

Last Name

FANOPOULOS

Business Name

DIMITRIOS I FANOPOULOS MD

Original Issue Date

08/13/1996

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/22/2023