DANIEL THEODORE BOEDER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168173

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

THEODORE

Last Name

BOEDER

Business Name

DANIEL THEODORE BOEDER MD

Original Issue Date

01/05/2024

Effective Date

01/05/2024

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/02/2024