OTTO GUNTRAM THILENIUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

OTTO GUNTRAM

Last Name

THILENIUS

Suffix

Business Name

OTTO GUNTRAM THILENIUS MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006