ROBERT K THIEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078677

License Status

INACTIVE

Business

First Name

ROBERT K

Last Name

THIEL

Suffix

Business Name

ROBERT K THIEL MD

Original Issue Date

04/05/1989

Effective Date

04/05/1989

Expiration Date

07/31/1990

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006