DAVID J BOHM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

DAVID J

Last Name

BOHM

Business Name

DAVID J BOHM

Original Issue Date

12/06/1984

Effective Date

11/23/2015

Expiration Date

09/30/2018

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018