GEOFFREY RANDALL KAUMP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146434

License Status

NOT RENEWED

Business

Title

First Name

GEOFFREY

Middle

RANDALL

Last Name

KAUMP

Business Name

GEOFFREY RANDALL KAUMP MD

Original Issue Date

06/14/2018

Effective Date

06/14/2018

Expiration Date

09/30/2020

City

NEW HAVEN

State

Zip

06511

Ever Disciplined

LastModifiedDate

01/14/2021