RONALD P BOHNENKAMP MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

CANCELLED

Business

First Name

RONALD P

Last Name

BOHNENKAMP

Suffix

Business Name

RONALD P BOHNENKAMP MD

Original Issue Date

09/09/1986

Effective Date

09/09/1986

Expiration Date

07/31/2005

City

ELMHURST

State

Zip

60126

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006