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*****83

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

02/22/2007

Effective Date

02/22/2007

Expiration Date

07/31/2008

City

PERU

State

Zip

61354

County

LEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020