KOEN DE GEEST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080109

License Status

NOT RENEWED

Business

First Name

KOEN

Last Name

DE GEEST

Suffix

Business Name

KOEN DE GEEST MD

Original Issue Date

06/23/1990

Effective Date

06/23/1990

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006