NICHOLAS S GALANOPOULOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

Title

First Name

NICHOLAS

Middle

Last Name

GALANOPOULOS

Business Name

NICHOLAS S GALANOPOULOS MD

Original Issue Date

03/29/2012

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021