BEVERLY JEAN BOHAC MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012658

License Status

EXPIRED

Business

First Name

BEVERLY JEAN

Last Name

BOHAC

Suffix

Business Name

BEVERLY JEAN BOHAC MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

05/27/1983

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006