PHOEBE BOHOLST-PANOPIO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

First Name

PHOEBE

Last Name

BOHOLST-PANOPIO

Suffix

Business Name

PHOEBE BOHOLST-PANOPIO MD

Original Issue Date

11/27/2002

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023