TED C SHIEH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****98

NOT RENEWED

N

MD

TED C

SHIEH

TED C SHIEH MD

12/18/1996

12/18/1996

07/31/1999

MELROSE PARK

IL

60160

COOK

II III IV V

N

04/05/2020