KYLE DAVID BOHAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144438

License Status

NOT RENEWED

Business

Title

First Name

KYLE

Middle

DAVID

Last Name

BOHAN

Business Name

KYLE DAVID BOHAN DO

Original Issue Date

10/03/2017

Effective Date

10/03/2017

Expiration Date

09/30/2020

City

MILWAUKEE

State

Zip

53212

Ever Disciplined

LastModifiedDate

01/14/2021