ANDREW C THIENEMAN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057345

License Status

NOT RENEWED

Business

First Name

ANDREW C

Last Name

THIENEMAN JR

Suffix

Business Name

ANDREW C THIENEMAN JR MD

Original Issue Date

08/10/1978

Effective Date

08/10/1978

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006