GEOFFREY ANDREW GELLER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****41

License Status

NOT RENEWED

Business

First Name

GEOFFREY

Middle

ANDREW

Last Name

GELLER

Business Name

GEOFFREY ANDREW GELLER

Original Issue Date

12/13/2001

Effective Date

01/17/2012

Expiration Date

03/31/2014

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014