BRIAN C BOHOLST MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100608

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

BOHOLST

Suffix

Business Name

BRIAN C BOHOLST MD

Original Issue Date

07/12/1999

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

07/18/2023