STEVEN GORDON THIEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114392

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

GORDON

Last Name

THIEL

Suffix

Business Name

STEVEN GORDON THIEL MD

Original Issue Date

08/11/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

03/23/2020