TONI MARIE BISKUP MD - Medical Doctor License in Alaska | # 33*****47

TONI MARIE BISKUP MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

N

Title

MD

First Name

TONI

Middle

MARIE

Last Name

BISKUP

Business Name

TONI MARIE BISKUP MD

Original Issue Date

04/23/2012

Effective Date

04/23/2012

Expiration Date

07/31/2014

State

AK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/17/2014