JONATHAN CARL TIEMANN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

CARL

Last Name

TIEMANN

Business Name

JONATHAN CARL TIEMANN DO

Original Issue Date

06/03/2024

Effective Date

06/03/2024

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2024