MATTHEW E BOHM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090565

License Status

NOT RENEWED

Business

First Name

MATTHEW E

Last Name

BOHM

Business Name

MATTHEW E BOHM

Original Issue Date

04/19/1995

Effective Date

04/19/1995

Expiration Date

07/31/1996

City

BROOKFIELD

State

Zip

60513

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006