GEOFFREY C FENNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022259

License Status

EXPIRED

Business

Title

First Name

GEOFFREY

Middle

Last Name

FENNER

Business Name

GEOFFREY C FENNER MD

Original Issue Date

05/11/1988

Effective Date

05/11/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006