JONATHAN D BISHOP Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

BISHOP

Business Name

JONATHAN D BISHOP

Original Issue Date

01/23/2013

Effective Date

01/23/2013

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016