MICHAEL DOUGLAS BOEHM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109146

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

DOUGLAS

Last Name

BOEHM

Suffix

Business Name

MICHAEL DOUGLAS BOEHM MD

Original Issue Date

05/01/2003

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/13/2023