JAMES W THIELE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102649

License Status

ACTIVE

Business

First Name

JAMES

Middle

Last Name

THIELE

Business Name

JAMES W THIELE

Original Issue Date

06/08/2000

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/31/2023