TED C SHIEH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****95

NOT RENEWED

N

MD

TED C

SHIEH

TED C SHIEH MD

12/18/1996

12/18/1996

07/31/1999

BUFFALO GROVE

IL

60089

LAKE

II III IV V

N

04/05/2020