MICHAEL DOUGLAS BOEHM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

DOUGLAS

Last Name

BOEHM

Suffix

Business Name

MICHAEL DOUGLAS BOEHM MD

Original Issue Date

05/12/2006

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023