MARY L BISKUP - Medical Doctor License in Illinois | # 125024112

MARY L BISKUP

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024112

License Status

EXPIRED

Business

N

First Name

MARY L

Last Name

BISKUP

Business Name

MARY L BISKUP

Original Issue Date

06/20/1989

Effective Date

06/20/1989

Expiration Date

06/30/1992

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006