MICAH DREW BOEHR DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063015

License Status

CANCELLED

Business

Title

First Name

MICAH

Middle

DREW

Last Name

BOEHR

Business Name

MICAH DREW BOEHR DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

EUREKA

State

Zip

61530

County

WOODFORD

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014