ROBERT K THIEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021533

License Status

EXPIRED

Business

First Name

ROBERT K

Last Name

THIEL

Suffix

Business Name

ROBERT K THIEL MD

Original Issue Date

07/06/1987

Effective Date

07/06/1987

Expiration Date

07/01/1990

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006