GEOFFREY C FENNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081864

License Status

ACTIVE

Business

Title

First Name

GEOFFREY

Middle

Last Name

FENNER

Business Name

GEOFFREY C FENNER MD

Original Issue Date

11/28/1990

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

KENILWORTH

State

Zip

60043

County

COOK

Ever Disciplined

LastModifiedDate

06/15/2023