ERIC PHILLIP XANTHOPOULOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

ERIC

Middle

PHILLIP

Last Name

XANTHOPOULOS

Business Name

ERIC PHILLIP XANTHOPOULOS MD

Original Issue Date

07/18/2018

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023