SHANNON OLIVIA THOELE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

SHANNON

Middle

OLIVIA

Last Name

THOELE

Business Name

SHANNON OLIVIA THOELE MD

Original Issue Date

03/31/2025

Effective Date

03/31/2025

Expiration Date

07/31/2026

State

Zip

62301

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2025