AMANDA EILEEN BOHLEBER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153339

License Status

ACTIVE

Business

Title

First Name

AMANDA

Middle

EILEEN

Last Name

BOHLEBER

Business Name

AMANDA EILEEN BOHLEBER MD

Original Issue Date

06/12/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

47620

Ever Disciplined

LastModifiedDate

04/06/2023