STEVEN GORDON THIEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

GORDON

Last Name

THIEL

Suffix

Business Name

STEVEN GORDON THIEL MD

Original Issue Date

08/24/2005

Effective Date

08/14/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011