PAT RAY TIEMANN - Podiatrist License in Illinois | # 016002668

PAT RAY TIEMANN

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002668

License Status

NOT RENEWED

Business

N

First Name

PAT RAY

Last Name

TIEMANN

Business Name

PAT RAY TIEMANN

Original Issue Date

07/08/1971

Effective Date

07/08/1971

Expiration Date

01/31/1985

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006