LYMAN ROBERT TIEMAN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

LYMAN

Middle

ROBERT

Last Name

TIEMAN

Suffix

JR MD

Business Name

LYMAN ROBERT TIEMAN JR MD

Original Issue Date

01/01/1997

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

PERU

State

Zip

61354

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021