DANIEL DAVID BOHL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067143

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

DAVID

Last Name

BOHL

Business Name

DANIEL DAVID BOHL MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

05/29/2018