GEOFFREY SCOTT VAN THIEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128546

License Status

ACTIVE

Business

First Name

GEOFFREY

Middle

SCOTT

Last Name

VAN THIEL

Suffix

Business Name

GEOFFREY SCOTT VAN THIEL MD

Original Issue Date

07/18/2011

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/27/2023