BOAZ YEHUDA BISHOP MD - Medical Doctor License in Illinois | # 125076182

BOAZ YEHUDA BISHOP MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076182

License Status

CANCELLED

Business

N

Title

MD

First Name

BOAZ

Middle

YEHUDA

Last Name

BISHOP

Business Name

BOAZ YEHUDA BISHOP MD

Original Issue Date

07/13/2022

Effective Date

07/13/2022

Expiration Date

07/12/2023

State

IL

Specialty/Qualifier

Nephrology

Ever Disciplined

N

LastModifiedDate

07/13/2022