FREDERICK JOSEPH BOEHM II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055630

License Status

NOT RENEWED

Business

First Name

FREDERICK JOSEPH

Last Name

BOEHM II

Suffix

Business Name

FREDERICK JOSEPH BOEHM II MD

Original Issue Date

08/11/1977

Effective Date

08/11/1977

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006