GEOFFREY P BERNSTEIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

GEOFFREY P

Last Name

BERNSTEIN

Business Name

GEOFFREY P BERNSTEIN

Original Issue Date

05/26/1988

Effective Date

05/26/1988

Expiration Date

07/31/1996

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006