DEREK LANCE BOHM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011428

License Status

ACTIVE

Business

First Name

DEREK

Middle

LANCE

Last Name

BOHM

Business Name

DEREK LANCE BOHM

Original Issue Date

07/18/2025

Effective Date

01/26/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/26/2026