MICAH DREW BOEHR DO - Medical Doctor License in Illinois | # 125063015

MICAH DREW BOEHR DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063015

License Status

CANCELLED

Business

N

Title

DO

First Name

MICAH

Middle

DREW

Last Name

BOEHR

Business Name

MICAH DREW BOEHR DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

03/24/2014