OLE JOHANNES THIENHAUS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

OLE

Middle

JOHANNES

Last Name

THIENHAUS

Business Name

OLE JOHANNES THIENHAUS MD

Original Issue Date

08/17/2022

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

TUCSON

State

Zip

85749

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023