KENT C THIEMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

CANCELLED

Business

First Name

KENT

Middle

Last Name

THIEMAN

Suffix

Business Name

KENT C THIEMAN MD

Original Issue Date

06/17/2008

Effective Date

06/17/2008

Expiration Date

07/31/2011

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011