ANESTIS NICHOLAS GIANITSOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099863

License Status

NOT RENEWED

Business

First Name

ANESTIS

Middle

NICHOLAS

Last Name

GIANITSOS

Suffix

Business Name

ANESTIS NICHOLAS GIANITSOS MD

Original Issue Date

03/16/1999

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

DARIEN

State

Zip

53114

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021