PATRICK EDWARD BISE MD - Medical Doctor License in Illinois | # 125060081

PATRICK EDWARD BISE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060081

License Status

NOT RENEWED

Business

N

Title

MD

First Name

PATRICK

Middle

EDWARD

Last Name

BISE

Business Name

PATRICK EDWARD BISE MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2012

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

06/19/2018