TONI MARIE BISKUP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130173

License Status

NOT RENEWED

Business

Title

First Name

TONI

Middle

MARIE

Last Name

BISKUP

Business Name

TONI MARIE BISKUP MD

Original Issue Date

04/23/2012

Effective Date

04/23/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014