JENNIFER C TIEMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

TIEMAN

Suffix

Business Name

JENNIFER C TIEMAN MD

Original Issue Date

03/07/2001

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

STREATOR

State

Zip

61364

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023