BRANDON GEIGLE BENTZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030047

License Status

EXPIRED

Business

First Name

BRANDON

Middle

GEIGLE

Last Name

BENTZ

Suffix

Business Name

BRANDON GEIGLE BENTZ MD

Original Issue Date

06/02/1993

Effective Date

06/02/1993

Expiration Date

06/21/1996

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006