STEPHEN E THIERAUF MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

CANCELLED

Business

First Name

STEPHEN

Middle

Last Name

THIERAUF

Suffix

Business Name

STEPHEN E THIERAUF MD

Original Issue Date

08/15/2003

Effective Date

08/15/2003

Expiration Date

07/31/2008

City

EAST ST LOUIS

State

Zip

62205

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008