CYNTHIA PEACOCK THELEEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123087

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

PEACOCK

Last Name

THELEEN

Suffix

Business Name

CYNTHIA PEACOCK THELEEN MD

Original Issue Date

04/07/2009

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014