STEPHEN E THIERAUF MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109602

License Status

INACTIVE

Business

First Name

STEPHEN

Middle

Last Name

THIERAUF

Suffix

Business Name

STEPHEN E THIERAUF MD

Original Issue Date

06/30/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ST LOUIS

State

Zip

63021

Ever Disciplined

LastModifiedDate

04/17/2008