CHARLES L THIESENHUSEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074965

License Status

INACTIVE

Business

First Name

CHARLES L

Last Name

THIESENHUSEN

Suffix

Business Name

CHARLES L THIESENHUSEN MD

Original Issue Date

05/04/1987

Effective Date

05/04/1987

Expiration Date

07/31/1990

City

ST PAUL

State

Zip

55113

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/20/2006