KELLEY BOHM MD - Medical Doctor License in Illinois | # 125071324

KELLEY BOHM MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071324

License Status

EXPIRED

Business

N

Title

MD

First Name

KELLEY

Last Name

BOHM

Business Name

KELLEY BOHM MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

State

IL

Specialty/Qualifier

Ophthalmology

Ever Disciplined

N

LastModifiedDate

11/19/2020