DEMITRA PHILOSOPHOS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

ACTIVE

Business

First Name

DEMITRA

Last Name

PHILOSOPHOS

Business Name

DEMITRA PHILOSOPHOS

Original Issue Date

08/24/2023

Effective Date

12/08/2023

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025