Geoffrey Russell Detolve Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036054087

Status

Inactive

First issued

January 13, 1977

Expired

July 31, 1996

License holder

Geoffrey Russell Detolve Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

01/13/1977

Other Illinois licenses under this name

• IL
  Geoffrey Russell Detolve Md

  License 33*****68

  Licensed Physician Controlled Substance (Medical Board)
  Expired

  Shorewood, IL

  Expired Jul 31, 1996

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