BRANDON GEIGLE BENTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092659

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

GEIGLE

Last Name

BENTZ

Suffix

Business Name

BRANDON GEIGLE BENTZ MD

Original Issue Date

05/08/1996

Effective Date

05/08/1996

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

06/09/2008

Case Number

2007006797

Action

Probation

Discipline Start Date

08/08/2007

Discipline End Date

08/03/2009

Discipline Reason

Disciplined in the state of Utah.