MARY L BISKUP Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024112

License Status

EXPIRED

Business

First Name

MARY L

Last Name

BISKUP

Business Name

MARY L BISKUP

Original Issue Date

06/20/1989

Effective Date

06/20/1989

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006