GEOFFREY SCOTT VAN THIEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052058

License Status

EXPIRED

Business

First Name

GEOFFREY

Middle

SCOTT

Last Name

VAN THIEL

Suffix

Business Name

GEOFFREY SCOTT VAN THIEL MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

ELGIN

State

Zip

60123

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

07/19/2011