NICHOLAS G TZANETAKOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

NICHOLAS G

Last Name

TZANETAKOS

Suffix

Business Name

NICHOLAS G TZANETAKOS MD

Original Issue Date

06/28/1983

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60564

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023