KYLE DAVID BOHAN DO - Medical Doctor License in Illinois | # 125067497

KYLE DAVID BOHAN DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067497

License Status

CANCELLED

Business

N

Title

DO

First Name

KYLE

Middle

DAVID

Last Name

BOHAN

Business Name

KYLE DAVID BOHAN DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/03/2017