DALE M GEISS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060685

License Status

NOT RENEWED

Business

First Name

DALE M

Last Name

GEISS

Suffix

Business Name

DALE M GEISS MD

Original Issue Date

07/25/1980

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023