ANESTIS NICHOLAS GIANITSOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

ANESTIS

Middle

NICHOLAS

Last Name

GIANITSOS

Suffix

Business Name

ANESTIS NICHOLAS GIANITSOS MD

Original Issue Date

07/19/1999

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

HARVARD

State

Zip

60033

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021