JAMES W THIELE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032517

License Status

EXPIRED

Business

First Name

JAMES

Middle

Last Name

THIELE

Business Name

JAMES W THIELE

Original Issue Date

05/11/1995

Effective Date

05/11/1995

Expiration Date

06/30/2000

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006