BEN W BOOHER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000371

License Status

EXPIRED

Business

First Name

BEN

Middle

Last Name

BOOHER

Business Name

BEN W BOOHER

Original Issue Date

09/05/1997

Effective Date

09/05/1997

Expiration Date

02/28/1998

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006