MICHAEL JAMES THIELMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JAMES

Last Name

THIELMAN

Suffix

Business Name

MICHAEL JAMES THIELMAN MD

Original Issue Date

07/06/2001

Effective Date

07/06/2001

Expiration Date

07/31/2002

City

MONMOUTH

State

Zip

61462

County

WARREN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006