BROGAN EDWARD BAHLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158560

License Status

ACTIVE

Business

Title

First Name

BROGAN

Middle

EDWARD

Last Name

BAHLER

Business Name

BROGAN EDWARD BAHLER MD

Original Issue Date

10/21/2021

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/22/2023