DIMITRIOS S MASTROGIANNIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136742

License Status

NOT RENEWED

Business

Title

First Name

DIMITRIOS

Middle

Last Name

MASTROGIANNIS

Business Name

DIMITRIOS S MASTROGIANNIS MD

Original Issue Date

10/28/2014

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

DIX HILLS

State

Zip

11746

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021