GEOFFREY SCOTT VAN THIEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

GEOFFREY

Middle

SCOTT

Last Name

VAN THIEL

Suffix

Business Name

GEOFFREY SCOTT VAN THIEL MD

Original Issue Date

09/03/2013

Effective Date

04/20/2017

Expiration Date

09/30/2020

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021