TODD S GIESE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

Title

First Name

TODD

Middle

Last Name

GIESE

Business Name

TODD S GIESE MD

Original Issue Date

05/17/1988

Effective Date

05/17/1988

Expiration Date

07/31/2002

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020