DIANE LOUISE THIEL MD - Medical Doctor License in Georgia | # 036058478

DIANE LOUISE THIEL MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058478

License Status

NOT RENEWED

Business

N

First Name

DIANE LOUISE

Last Name

THIEL

Suffix

MD

Business Name

DIANE LOUISE THIEL MD

Original Issue Date

03/22/1979

Effective Date

03/22/1979

Expiration Date

07/31/1984

State

GA

Ever Disciplined

N

LastModifiedDate

09/20/2006