JOSEPH G BOHLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

JOSEPH G

Last Name

BOHLEN

Suffix

Business Name

JOSEPH G BOHLEN MD

Original Issue Date

06/18/1987

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

PLEASANT PLAINS

State

Zip

62677

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017