BRANDON GEIGLE BENTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

GEIGLE

Last Name

BENTZ

Suffix

Business Name

BRANDON GEIGLE BENTZ MD

Original Issue Date

03/02/2000

Effective Date

03/02/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006