MICHAEL ANDRIANOS THOMOPOULOS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****33

License Status

INOPERATIVE

Business

First Name

MICHAEL

Middle

ANDRIANOS

Last Name

THOMOPOULOS

Business Name

MICHAEL ANDRIANOS THOMOPOULOS

Original Issue Date

11/29/2017

Effective Date

02/09/2018

Expiration Date

03/01/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019