DIMITRIOS E STEPHANOPOULOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

DIMITRIOS

Middle

Last Name

STEPHANOPOULOS

Suffix

Business Name

DIMITRIOS E STEPHANOPOULOS MD

Original Issue Date

08/12/1998

Effective Date

06/02/2020

Expiration Date

07/31/2023

City

WICHITA

State

Zip

67230

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023