KELLEY BOHM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

KELLEY

Last Name

BOHM

Business Name

KELLEY BOHM MD

Original Issue Date

06/24/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

HOMEWOOD

State

Zip

60430

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023