GEOFFREY THOMAS EMERICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

GEOFFREY

Middle

THOMAS

Last Name

EMERICK

Suffix

Business Name

GEOFFREY THOMAS EMERICK MD

Original Issue Date

08/21/1998

Effective Date

08/21/1998

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/06/2008