ANNE KATHERINE BOHLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004229

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

KATHERINE

Last Name

BOHLE

Business Name

ANNE KATHERINE BOHLE

Original Issue Date

10/26/2011

Effective Date

01/30/2014

Expiration Date

03/01/2016

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/25/2016