MARIE LOU D BISONAYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059745

License Status

NOT RENEWED

Business

First Name

MARIE LOU D

Last Name

BISONAYA

Suffix

Business Name

MARIE LOU D BISONAYA MD

Original Issue Date

11/09/1979

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021