TOM K STATHOPOULOS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

First Name

TOM

Middle

Last Name

STATHOPOULOS

Business Name

TOM K STATHOPOULOS

Original Issue Date

06/04/2002

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

MCHENRY

State

Zip

60050

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023