JOSEPH ROBERT BISHOP Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

JOSEPH ROBERT

Last Name

BISHOP

Business Name

JOSEPH ROBERT BISHOP

Original Issue Date

08/21/1992

Effective Date

08/21/1992

Expiration Date

09/30/2004

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005