LUKE STEVEN THEILKEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047610

License Status

CANCELLED

Business

First Name

LUKE

Middle

STEVEN

Last Name

THEILKEN

Suffix

Business Name

LUKE STEVEN THEILKEN MD

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

07/31/2008

City

DALLAS

State

Zip

75206

County

TEXAS

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006