GEOFFREY SCOTT VAN THIEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

GEOFFREY

Middle

SCOTT

Last Name

VAN THIEL

Suffix

Business Name

GEOFFREY SCOTT VAN THIEL MD

Original Issue Date

08/18/2011

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023