ALFRED CHARLES BOEHM DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

CANCELLED

Business

First Name

ALFRED CHARLES

Last Name

BOEHM

Suffix

Business Name

ALFRED CHARLES BOEHM DO

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

BRADENTON

State

Zip

33508

County

FLORIDA

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

09/26/2006