WILLIAM TODD BOHANNON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100220

License Status

INACTIVE

Business

First Name

WILLIAM

Middle

TODD

Last Name

BOHANNON

Suffix

Business Name

WILLIAM TODD BOHANNON MD

Original Issue Date

05/17/1999

Effective Date

05/17/1999

Expiration Date

07/31/2002

City

LUBBOCK

State

Zip

79430

County

TEXAS

Ever Disciplined

LastModifiedDate

10/09/2006