JERRY STASSINOPOULOS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

JERRY

Last Name

STASSINOPOULOS

Suffix

Business Name

JERRY STASSINOPOULOS MD

Original Issue Date

10/31/2008

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

NOVI

State

Zip

48374

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/06/2023