MICAH DREW BOEHR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

Title

First Name

MICAH

Middle

DREW

Last Name

BOEHR

Business Name

MICAH DREW BOEHR DO

Original Issue Date

07/01/2016

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023