ANNE KATHERINE BOHLE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****83

License Status

INOPERATIVE

Business

First Name

ANNE

Middle

KATHERINE

Last Name

BOHLE

Business Name

ANNE KATHERINE BOHLE

Original Issue Date

04/02/2012

Effective Date

01/30/2014

Expiration Date

03/01/2016

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

01/30/2014