JOSEPH G BOHLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069395

License Status

NOT RENEWED

Business

First Name

JOSEPH G

Last Name

BOHLEN

Suffix

Business Name

JOSEPH G BOHLEN MD

Original Issue Date

08/24/1984

Effective Date

07/17/2014

Expiration Date

07/31/2017

City

PLEASANT PLAINS

State

Zip

62677

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017