KEVIN R BOEHLE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028261

License Status

EXPIRED

Business

First Name

KEVIN

Middle

Last Name

BOEHLE

Business Name

KEVIN R BOEHLE

Original Issue Date

05/20/1992

Effective Date

05/20/1992

Expiration Date

06/21/1995

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006