KYLE DAVID BOHAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067497

License Status

CANCELLED

Business

Title

First Name

KYLE

Middle

DAVID

Last Name

BOHAN

Business Name

KYLE DAVID BOHAN DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

OAK PARK

State

Zip

60302

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/03/2017