DERIK JOSEF GEIST MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053784

License Status

EXPIRED

Business

Title

First Name

DERIK

Middle

JOSEF

Last Name

GEIST

Business Name

DERIK JOSEF GEIST MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/15/2009