GEOFFREY RANDALL KAUMP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

Title

First Name

GEOFFREY

Middle

RANDALL

Last Name

KAUMP

Business Name

GEOFFREY RANDALL KAUMP MD

Original Issue Date

06/15/2018

Effective Date

06/15/2018

Expiration Date

09/30/2020

City

PHILADELPHIA

State

Zip

19125

County

PENNSYLVANIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021