TED C SHIEH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****96

NOT RENEWED

N

MD

TED C

SHIEH

TED C SHIEH MD

12/18/1996

12/18/1996

07/31/1999

LAKE ZURICH

IL

60047

LAKE

II III IV V

N

04/05/2020