GEOFFREY JON GOTTLIEB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129477

License Status

NOT RENEWED

Business

Title

First Name

GEOFFREY

Middle

JON

Last Name

GOTTLIEB

Business Name

GEOFFREY JON GOTTLIEB MD

Original Issue Date

01/17/2012

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

GREAT BARRINGTON

State

Zip

01230

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/01/2017