AUDREY H GEANNOPOULOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

First Name

AUDREY

Middle

Last Name

GEANNOPOULOS

Suffix

Business Name

AUDREY H GEANNOPOULOS MD

Original Issue Date

09/24/1990

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60189

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023