CHARLES L THIESENHUSEN MD - Medical Doctor License in Minnesota | # 036074965

CHARLES L THIESENHUSEN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074965

License Status

INACTIVE

Business

N

First Name

CHARLES L

Last Name

THIESENHUSEN

Suffix

MD

Business Name

CHARLES L THIESENHUSEN MD

Original Issue Date

05/04/1987

Effective Date

05/04/1987

Expiration Date

07/31/1990

State

MN

Ever Disciplined

N

LastModifiedDate

09/20/2006