PETROS VASSILIOS ANAGNOSTOPOULOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

PETROS

Middle

VASSILIOS

Last Name

ANAGNOSTOPOULOS

Business Name

PETROS VASSILIOS ANAGNOSTOPOULOS MD

Original Issue Date

02/11/2014

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023