MELISSA A BOEHM DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118453

License Status

INACTIVE

Business

First Name

MELISSA

Middle

Last Name

BOEHM

Suffix

Business Name

MELISSA A BOEHM DO

Original Issue Date

05/22/2007

Effective Date

05/22/2007

Expiration Date

07/31/2008

City

SPRING LAKE

State

Zip

49456

Ever Disciplined

LastModifiedDate

04/17/2008