TIMOTHY P BOHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

TIMOTHY P

Last Name

BOHAN

Suffix

Business Name

TIMOTHY P BOHAN MD

Original Issue Date

05/15/1986

Effective Date

05/15/1986

Expiration Date

07/31/1990

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006