RICHARD A BOEHM DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****47

NOT RENEWED

N

DDS

RICHARD

A

BOEHM

RICHARD A BOEHM DDS

10/14/1992

11/23/2011

09/30/2012

LISLE

IL

60532

DUPAGE

II III IV V

Y

11/14/2012

2008001813

Probation

11/23/2011

11/22/2012

license restored to 1 year probation effective upon payment of fees, filing of forms and completion of required continuing education.