BENJAMIN MICHAEL BOVA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066671

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

MICHAEL

Last Name

BOVA

Business Name

BENJAMIN MICHAEL BOVA MD

Original Issue Date

06/26/2015

Effective Date

06/26/2015

Expiration Date

06/25/2018

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/25/2018