IVEN WAYNE BOEHM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

ACTIVE

Business

First Name

IVEN

Middle

WAYNE

Last Name

BOEHM

Business Name

IVEN WAYNE BOEHM

Original Issue Date

01/30/2002

Effective Date

01/26/2026

Expiration Date

03/01/2028

City

NEOGA

State

Zip

62447

County

CUMBERLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/26/2026