ROGER WILLIAM GEISS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

ROGER WILLIAM

Last Name

GEISS

Suffix

Business Name

ROGER WILLIAM GEISS MD

Original Issue Date

04/14/2005

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023