GEOFFREY KYNAN HADLOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

GEOFFREY

Middle

KYNAN

Last Name

HADLOCK

Suffix

Business Name

GEOFFREY KYNAN HADLOCK MD

Original Issue Date

05/23/2000

Effective Date

05/23/2000

Expiration Date

07/31/2002

City

FULTON

State

Zip

61252

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006