IVEN WAYNE BOEHM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001655

License Status

ACTIVE

Business

First Name

IVEN

Middle

WAYNE

Last Name

BOEHM

Business Name

IVEN WAYNE BOEHM

Original Issue Date

10/30/2001

Effective Date

01/26/2026

Expiration Date

03/01/2028

City

NEOGA

State

Zip

62447

County

CUMBERLAND

Ever Disciplined

LastModifiedDate

01/26/2026