MATTHEW E BOHM - Medical Doctor License in Illinois | # 125028545

MATTHEW E BOHM

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028545

License Status

EXPIRED

Business

N

First Name

MATTHEW E

Last Name

BOHM

Business Name

MATTHEW E BOHM

Original Issue Date

06/02/1992

Effective Date

06/02/1992

Expiration Date

06/21/1995

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006