BEVERLY JEAN BOHAC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

BEVERLY JEAN

Last Name

BOHAC

Suffix

Business Name

BEVERLY JEAN BOHAC MD

Original Issue Date

05/13/1981

Effective Date

05/13/1981

Expiration Date

07/31/1984

City

ROCKFORD

State

Zip

61107

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006