JEREMY DAVID THEISEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173097

License Status

ACTIVE

Business

Title

First Name

JEREMY

Middle

DAVID

Last Name

THEISEN

Business Name

JEREMY DAVID THEISEN MD

Original Issue Date

12/18/2024

Effective Date

12/18/2024

Expiration Date

07/31/2026

City

SAN DIEGO

State

Zip

92128

Ever Disciplined

LastModifiedDate

05/30/2025