MICHAEL DOUGLAS BOEHM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DOUGLAS

Last Name

BOEHM

Suffix

Business Name

MICHAEL DOUGLAS BOEHM MD

Original Issue Date

05/01/2003

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021