BRENTON CHARLES BOHLIG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001156

License Status

EXPIRED

Business

Title

First Name

BRENTON

Middle

CHARLES

Last Name

BOHLIG

Business Name

BRENTON CHARLES BOHLIG MD

Original Issue Date

03/06/2017

Effective Date

03/06/2017

Expiration Date

04/05/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

07/19/2017