VIRLYN LEWIS BISHOP MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130160

License Status

INACTIVE

Business

Title

First Name

VIRLYN

Middle

LEWIS

Last Name

BISHOP

Business Name

VIRLYN LEWIS BISHOP MD

Original Issue Date

04/20/2012

Effective Date

04/20/2012

Expiration Date

07/31/2014

City

MARIETTA

State

Zip

30064

County

GEORGIA

Ever Disciplined

LastModifiedDate

04/08/2014