PATRICK EDWARD BISE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060081

License Status

NOT RENEWED

Business

Title

First Name

PATRICK

Middle

EDWARD

Last Name

BISE

Business Name

PATRICK EDWARD BISE MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/19/2018