JENNIFER C TIEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

TIEMAN

Suffix

Business Name

JENNIFER C TIEMAN MD

Original Issue Date

03/21/2022

Effective Date

03/21/2022

Expiration Date

07/31/2023

City

GENEVA

State

Zip

60134

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023