DIANE LOUISE THIEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

CANCELLED

Business

First Name

DIANE LOUISE

Last Name

THIEL

Suffix

Business Name

DIANE LOUISE THIEL MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

IOWA CITY

State

Zip

52240

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006